STRICTURE DILATION

What We Do

Team LivGastro provides utility based model of care that integrates specialists, primary care , laboratory, imaging and other health services to give patients a convenient and superior outcome along with a pleasant experience. Since we primarily focus on outdoor-patient care, on the site instant testing along with detailed and accurate results, we enable our patients and their families save
a lot of effort, time and money.

STRICTURE DILATIONSTRICTURE DILATION

Chronic gastroesophageal reflux disease or GERD is considered to cause most benign strictures in the esophagus. Commonly known as ‘Peptic Strictures’, these generally occur in the distal esophagus and are shorter in length. As for proper diagnosis, even though symptoms such as difficulty in swallowing solid food, old history of GERD are often considered, endoscopy and barium meal swallow proves most accurate. As for the dilatory process, both endoscopy and dilation may be performed in one session.

How Is The Procedure Performed

Esophageal dilation is usually performed as ambulatory outpatient procedure using conscious sedation (topical anesthetic Oropharynx). However, sedation may not be required for uncomplicated bougie dilation for patients undergoing recurring procedures, while adequate Oropharyngeal topical anesthesia (1% lidocaine solution spray) serves the purpose.

As for dilators, there are two broad categories – (a) Mechanical (push-type or bougie); (b) Balloon type. Both types may or may not be used with a guide-wire. Among the mechanical dilators, the most commonly used is the Maloney (Medovations, USA) bougie dilator which is made of rubber, containing mercury or tungsten. It features a tapered tip and can be freely passed, sans any guide-wire. Yet another push-type dilator, the Savary-Gillard (Wilson-Cook, USA) is a tapered thermoplastic dilator that needs a guide-wire. Also used are the earlier rounded tip dilator (Hurst, Medovations, USA) and the wire-guided metallic olive-tip dilator (Eder-Puetow, Eder Instruments, USA). However, the dilation of the stricture take place by longitudinal force as well as radial force in progressive way as the larger part of the dilator passes through the stricture.

Balloon dilators, on the other hand, are passed through scope (TTS), while the dilation takes place by radial force as the balloon expands. Contemporary models of TTS balloon dilators (Boston Scientific Corp, USA) feature guide-wire competence, enabling expansion in three different dimensions at 1.5 mm increments, sans change of balloons.

Postscript

Esophageal benign stricture dilation proves challenging, yet rewarding procedure for endoscopists all over our lonely planet. However, what matters most are endurance and the will to provide relief for the patient than craving for ultra-modern equipment.

INSTA UPDATE @LIVGASTRO

Based on 43 reviews.
Shiv kumar Thakur
Shiv kumar Thakur
2022-01-09
Dr. Vijay rai is the best doctor.
PRANAB BARIK
PRANAB BARIK
2022-01-09
Dr, rai is the best person , the best place to visit,
Prabir Das
Prabir Das
2022-01-09
Dr Rai is the best doctor we have come across but reception staffs is poor,
saurwita brahma
saurwita brahma
2021-12-31
Good place. Safe and secured. Good treatment. Doctor is deft and experienced. All other staff are cooperative and supportive
Prodip kumar Majumder
Prodip kumar Majumder
2021-12-30
Satisfied
Sanjiv Singh
Sanjiv Singh
2021-12-30
Very good clinic for all stomach issues under the supervision of one of the best doctor and excellent staff
Rajeev Singh
Rajeev Singh
2021-12-29
Visiting a clinic is not a good feeling but thanks to Dr Vijay Rai and Monica Rai mai it is a releiving experience due to satisfactory treatment and awesome service, kudos to Live Gastro and blessings
THERESA MENDES
THERESA MENDES
2021-12-26
To those of you who may have a gastric issue and want a masterclass Gastroenterologist who builds excellent rapport with his patients, you could do well to meet Dr Vijay Kumar Rai of Liv-Gastro. Dr Vijay Kr Rai is hands down one of Kolkata’s best Gastroenterologists. His presentation of self, decorum, services and treatment processes are definitely top notch. Undoubtedly he represents one of the best health care professionals in his field. Dr. Vijay Kr. Rai’s newest venture Liv-Gastro is testimony of his hard work, grit, innovative ideas and determination to bring the best into his arena of practice; in order to achieve maximum treatment options thereby leading to positive outcomes. He has worked relentlessly with steadfast intent and passion to build and expand on his ideas and Liv Gastro is evidence of all that and more. A tour of the campus and floors reveal pristine, cheerful, brightly lit, consultation rooms, diagnostic laboratories, examination rooms, Dr’s clinics, waiting rooms and reception. The warm decor where detailed attention has been given to ensure a patient friendly ambience and the kind, courteous and graceful staff all add to a cheerful exuberance. Some of the services offered are: 1.Day care 2. ERCP 3.EUS 4.Capsule Endoscopy 5. Manometry 6. Fibroscan Dr Vijay Kumar Rai is a very supportive Dr who takes his patients seriously putting their needs first. He has a well rounded knowledge and expertise in his area of practice and inspires confidence. As a patient I was always sure of quality management of my condition and his ability to zero in on the problem is truly amazing. His persistence in dealing with my health issues has been accurate and he has seen me right through to recovery refusing to give in. I could not ask for more. It’s great to find a Dr who combines care and concern along with the prescription which always leaves one with a “feel good”feeling. I do not hesitate to recommend Dr. Vijay Kumar Rai and the team at Liv Gastro to friends and wider circles.