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Reply to "Questions About Endoscopic Balloon Dilation"

CT, as you probably already suspect, the answers to your questions are highly dependent on your specific situation. In regard to how you will know you are perforated, the answer your doctor gave is the correct one. Unless there was an obvious “oopsie” during the procedure, it might be something to small to see. Like my anastomotic leak that lead to a pelvic abscess, or my random “suddenly I am septic for no particular reason” case, the proof was the high fever and feeling extremely ill.

Here is a link to an article by Dr. Bo Shen that should give you better clarity about ballon dilation and the risks associated with it. Open surgery for stricturoplasty has a higher risk profile, so this is the low interventional option. Another option if the dilation is not successful or you have to repeat too often is an endoscopic stricturotomy. Your GI has been as conservative as he can be to this point.

http://website60s.com/upload/f...n-colon-and-rect.pdf

Jan

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