The most common treatment of chronic strictures is dilatation. Options may include using simple dilators (bougies), guided wire bougies, or balloon dilators. Depending on which method of dilatation is used, the procedure may take place in a doctor's office or in a hospital, and the patient may have only a local anesthetic or be sedated. The procedure should take less than half an hour, and using simple bougies takes only a few minutes.Recovery is fast. The patient should be able to eat and drink soon after the procedure. Dilitation may be repeated if necessary. If dilatation is not effective, open surgery may be required. In addition, the patient should continue to treat the GERD in order to prevent recurrence of the stricture.
There is a risk of complications, including bleeding at the site of the procedure and a perforation of the esophagus. A tear may require surgery to be corrected.
