Has anyone ever had strictureplasty? (Balloon dilation)

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Julie1014
Veteran Member


Date Joined Oct 2005
Total Posts : 1245
   Posted 2/4/2009 5:07 AM (GMT -7)   
I have a stricture in my sigmoid colon, which doesn't seem to be getting better.  My GI suggested strictureplasty a few months ago.  Has anyone ever had this done?  Is it an out-patient procedure?  Is it painful?  Where you in pain afterwards?  And, the most important question..... Did it help?  I would really like to try this first before surgery.....  Any input would be greatly appreciated.  Thanks!  Blessings, Julie :-)
Diagnosed with Crohn's March 2006, Fibromyalgia November 2008
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg as needed (for anxiety attacks)
 
 
 
 
 


belleenstein
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Date Joined Feb 2007
Total Posts : 1010
   Posted 2/4/2009 5:44 AM (GMT -7)   
I don't know if stricureplasty and balloon dilatation are the same thing, but I have had a dilatation and it is a relatively straightforward procedure that involves the same prep for a colonoscopy. Basically they use the same canula as for a colonoscopy through which they advance the balloon until it reaches the point of the stricture. Then they dilate the balloon several times in an attempt to stretch the stricture. My dilatation bought me another two years, but by the time mine was done the stricture had all but occluded and was in the small bowel.

A strictureplasty actually involves cutting into the wall of the stricture and resuturing it so that it lies in a different direction, thus opening it up wider. You don't lose any bowel and studies suggest that it is usually a good alternative to resection, especially if disease is found in multiple sites.

I think it is still done with a balloon, which is used to identify where the stricture is. I'm not sure what the recovery time is, though I think it might still be done as an outpatient.
Belleenstein:

30+ years living with Crohn's.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 2/4/2009 7:48 AM (GMT -7)   

I too have a stricture in my sigmoid colon. I did discuss dilation with a colorectal surgeon last year and in his words, "I currently feel that it would be ill advised to dilate her with these active linear ulcers, but if she were to respond medically, certainly one could consider that." I think the risk being greater of perforation. Colonoscopy in January still shows active Crohn's at the stricture site, plus I had an endorectal ultrasound after that. We have decided on surgery.

Disease is found only at that site and strictureplasty was never given to me as an option.

Good luck and I am interested in your treatment.
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
 Started weekly methotrexate injections 09/22/08.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 2/4/2009 8:16 AM (GMT -7)   
Don't have much time to reasearch it this morning but thought stictureplasty was a type of surgery. Thought you might find this helpful. 'There may be only a single short segment of narrowing and the risk of strictureplasty procedure (leak, infection, recurrent obstruction) is not worth the ptential benefit of avoiding a resection, which is generally much easier to perform.'

55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
 Started weekly methotrexate injections 09/22/08.


Julie1014
Veteran Member


Date Joined Oct 2005
Total Posts : 1245
   Posted 2/4/2009 8:59 AM (GMT -7)   
Thank you so much for the replies and clarifying the differences! My GI is referring to the "balloon procedure," not the one where the stricture is cut.....
Diagnosed with Crohn's March 2006, Fibromyalgia November 2008
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg as needed (for anxiety attacks)
 
 
 
 
 


angela42
Regular Member


Date Joined Dec 2005
Total Posts : 30
   Posted 2/4/2009 11:43 AM (GMT -7)   
I would definetly do the balloon dilation prior to surgery.
 
I've got an anal stricture and my gastro. dilates during my annual colonscopy and then every 6 months I get a "sigmoidoscopy" where he does the same thing.
 
My stricture is pretty bad, but the Versed (sp?) used during the procedure usually does the trick in terms of pain management.  I also receive the Versed for the sig.
 
Does it help?  Yes, a bit, not completely or I'd wouldn't have to do it every 6 months.  But I'll take having to go in for a simple short out patient procedure every 6 months to surgery.
 
Angela
Diagnosed at 13, am now 38. Bowel resection at 17 and two additional surgeries following bowel obstructions.  Weekly shot of Humira.
Gave birth to a beautiful baby boy on 9-21-2005 after being on Remicade.

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