UPPER GI ENDOSCOPY

(Therapeutic)

 

Esophageal dilation.

 

The possible complications depend on the type of used technique and the cause of the stricture.

achalasia (usually pneumatic dilation )
peptic strictures : - bougies systems
- TTS balloons
malignant strictures

 

 

The reported procedure-related to morbidity rate:

6.4 % in peptic strictures
 6.6 % in achalasia

The risk of major complications is greater when complex strictures (long/angulated) are treated.

 

 

Possible complications of Esophageal dilation

 

Bacteremia

Bacteremia is one of the most commons complications after endoscopic esophageal dilations. It occurs after 45 % of procedures.

 

 

Perforation

The complication rate ranges

- 0-8 % dilation of peptic strictures
- 6.6 % achalasia dilation

 

 

Copy injury of parietal wall of the esophagus by balloon dilation

(left upper part
of endoscopic view).

  

 

Esophageal perforation by fractured guide wire. 

 

 

Esophageal perforation occluded by plastic stent

 

 

 

Bleeding

A small amount of oozing from granulation lining of the stricture is inevitable and requires no more action than rinsing and watching.

Serious bleeding is usually associated with a more serious injury (extension of the tear to the submucosa).

 

 

Post balloon dilation bleeding.

  

 

 

 

Persistant pain

 

Fever

 

Delayed tracheo-esophageal fistulas