13/04/2025
A case of corrosive esophageal stricture with gastric outlet obstruction. Weight loss around 11 kg in 35 days. Procedure was done by Dr Adil Farooq Malik at HCMCT Manipal Hospitals Dwarka shows tight esophageal stricture. Ultra thin scope could not be negotiated across. Stricture was dilated with SG dilator up to 8mm. After dilatation ultra thin scope passed across the stricture in to the stomach.
Stomach wall shows scaring with pyloric stricture. Significant food residue seen. Guide wire passed across the pyloric stricture to place a freka tube in to the duodenum.
We dilated the pyloric stricture with 10mm CRE balloon under endoscopic guidance using ultra thin scope because we do not want to dilate esophageal stricture more the 8mm in 1st setting. Finally after CRE balloon dilation freka tube placed in to the duodenum.