Advanced endoscopic stricture dilation treatment - A safe and professional solution for immediate improvement in quality of life and prevention of complications
A stricture in the esophagus, stomach, or large intestine is a distressing and dangerous condition. It causes difficulty swallowing, pain, vomiting, and bowel obstruction. The causes vary: scars from past surgeries, acid damage, radiation, or tumors.
Dr. Vosko offers an immediate mechanical solution: Endoscopic Dilation.
Using high-pressure balloons or graduated dilators (Bougies), the narrowed area can be "opened" gently and safely, without the need for surgery.
In complex cases, Dr. Vosko combines endoscopic cutting of the scar or stent placement to keep the passage open.
Having trouble swallowing? Suffering from a blockage?
Contact us for immediate dilation treatment.
Who is this treatment for?
- Dysphagia (Difficulty Swallowing): A sensation that food gets stuck in the chest.
- Anastomotic Stricture: A scar at a connection created after surgery (such as gastric sleeve or bowel resection).
- Peptic Stricture: A scar in the esophagus caused by acid burns (severe reflux).
- Malignant Stricture: A tumor blocking the passage (palliative/relief treatment).
- Crohn's Disease: Inflammatory strictures in the small or large intestine.
Choosing the right tool is critical for preventing perforation.
- Judgment: The greatest danger in dilation is organ rupture (perforation). Dr. Vosko uses a "step-by-step" technique, utilizing X-ray fluoroscopy if necessary, to ensure maximum safety.
- Treating Crohn's Strictures: Specific expertise in dilating strictures in Crohn's patients, sparing them the need for repeated bowel resection surgeries ("Bowel Sparing").
Opening the passage, restoring quality of life.
Dr. Vosko is an expert in complex endoscopic dilations.
How is the treatment carried out?
How is the consultation conducted?
The procedure is performed under deep sedation (pain-free) under X-ray fluoroscopy (if necessary):
- Access: The endoscope is inserted up to the narrowed area. A thin guidewire is carefully passed through the narrow hole to serve as a safe "rail."
- Dilation: A dedicated balloon or dilator (Bougie) is threaded over the wire. The balloon is inflated gradually for a set time at controlled pressure, or the dilator is passed through the stricture.
- The Result: The action stretches and tears the scar fibers in a controlled manner, reopening the passage.
How should I prepare for treatment?
How should I prepare for the consultation?
- Recovery: Observation of about an hour at the institute. In most cases, discharge is on the same day.
- Sensations: Chest pain or discomfort when swallowing may occur for a day or two due to tissue stretching. Painkillers can be used.
- Treatment Plan ("Rule of 3"): It is important to understand that sometimes one treatment is not enough. Scar strictures tend to return ("Tissue Memory"), so usually, a series of 2-3 treatments spaced two weeks apart is required to achieve a stable and open result over time.
What to expect the day after? (Recovery and recuperation)
- Recovery: Short observation and discharge.
- Pain: Chest pain may occur for a day or two.
Are there risks or side effects?
Dilation is an action requiring great skill to balance opening the passage with maintaining organ integrity:
- Perforation: The main risk (tear of the esophageal/intestinal wall). Dr. Vosko uses a graduated and careful technique to minimize this risk.
- Bleeding: Usually mild and stops on its own.
- Aspiration: Rare, prevented by adhering to fasting.
Information for patients from abroad (medical tourism)
The unit is equipped to receive international patients and collaborates with agents for a full logistical envelope.
Direct inquiries are also welcomed for rapid and efficient coordination.
Treatment for oncological patients requiring stent placement to enable eating.
For your convenience, Dr. Vosko is fluent in Hebrew, English, and Russian.
Is there a risk of perforation (hole) in the esophagus?
This is the main risk, but it is rare (less than 1%) when performed by skilled hands. Dr. Vosko uses balloons that measure pressure in real time and fluoroscopy to ensure that the dilation is performed within the safe range.
How long will I need to remain on a liquid diet?
Usually one day of cold liquids, then transition to a soft diet (such as mashed potatoes and cheese) for two additional days. After that, you may resume a regular diet, ensuring thorough chewing.
Can the stricture recur?
Yes, scars tend to contract again. To prevent this, it is important to address the underlying cause (for example: taking reflux medications consistently to prevent repeated irritation of the area). In stubborn cases, steroid injections can be administered at the site to prevent recurrent scarring.
Is it painful to swallow after the procedure?
You may experience mild chest pain or discomfort when swallowing for 24-48 hours, as the tissue has been stretched. This is a sign that the dilation was effective. You may use Acamol (paracetamol) for relief.
Is one treatment sufficient?
Usually, a series of 2-3 treatments is required, spaced two to three weeks apart. The reason is that we gradually dilate the passage "step by step" (in stages) to avoid tearing the tissue. Overly aggressive dilation in a single session is dangerous.
We are with you - from the very first call, we understand that on the other end of the line is a person who may be concerned or in pain, waiting for answers. Therefore, we have built a service system that truly sees you:
- High Availability: A live service center is active Sunday-Thursday from 09:00 AM to 07:00 PM and on Fridays from 09:00 AM to 02:00 PM. In urgent cases, we are available beyond these hours.
- Direct WhatsApp Line: Do you have a question about fasting? Did you forget to ask something about your medications? Our customer service is available via WhatsApp for a quick response.
- Peace of Mind from Bureaucracy: Our team is highly experienced in working with insurance companies and supplemental health plans. We will assist you in preparing the necessary paperwork and authorizations so that you can focus entirely on your health.
Treatment of GI Strictures
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