QUAD #13 Esophageal Strictures & Endoscopic Interventions with Dr. Phil Putnam

Stay Current in Pediatric Surgery

In this video, we explore the diagnosis and management of esophageal strictures, focusing on the importance of a patient-centered approach and the various techniques available for dilation.

• Symptom Assessment: Esophageal stricture symptoms vary by age, oral intake, and stenosis severity. Accurate diagnosis involves evaluating nutritional status and secretion management.
• Diagnostic Tools: Endoscopy and esophagram are essential for assessing stricture location, diameter, and extent.
• Dilation Techniques: Learn about different tools like controlled radial expansion balloons, hurricane balloons, and bougienage. Understand when and how to use each method safely.
• Fluoroscopy Guidance: The advantages of using fluoroscopy for pre- and post-dilation esophagrams, ensuring accurate dilation and detecting complications like perforation.
• Incremental Dilation: The importance of cautious, gradual dilation to minimize risks and improve outcomes.
• Choosing the Right Method: Tailor the dilation technique to each patient’s anatomy, with a focus on careful scar remnant removal.