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Duodenal Stricture - Hosp Discharged Me - But ...
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ive asked questions about this before, if anyone is interested in more info
2 days ago i went in for an endoscopy & a balloon inflation.
however, once theyd done the endoscopy, they said all is fine & i didnt do the baloon inflation, as they were happy that the ulcer had gone and the duodenum was open enough etc.
however on the discharge forms, there was a 'drawing' of the scans - just line drawing, a tracing, just to show the shape - and it showed clearly there was still a slight stricture - a dent - all around my duodenum where the stricture was.
i realise its basically a bit of damage from the stricture - sort of a 'scar' left over
but why didnt they try to inflate that one last time?
since they were there and thats why i was there - since it takes only minutes to do & theres clearly still a tightening - and i was right there prepped for exactly that purpose?
It seems they've left me with a smaller duodenum, but could have stretched it a bit?
so why didnt they?
is there some reason im not seeing?
can the left over damage not be stretched or something?
Is it literal scar tissue?
im ok, happy the issue is resolved, i just wondered why they wouldnt have given it one last stretch?
Also am i now going to be more prone to indigestion & further risk of blockages etc?
(FYI - the stricture was caused by bad luck really - my taking NSAIDS, which caused an ulcer to form in the 'wrong' place so it swelled up & closed the duodenum, causing a complete blockage - so it likely wont ever happen again.)
thanks :)
2 days ago i went in for an endoscopy & a balloon inflation.
however, once theyd done the endoscopy, they said all is fine & i didnt do the baloon inflation, as they were happy that the ulcer had gone and the duodenum was open enough etc.
however on the discharge forms, there was a 'drawing' of the scans - just line drawing, a tracing, just to show the shape - and it showed clearly there was still a slight stricture - a dent - all around my duodenum where the stricture was.
i realise its basically a bit of damage from the stricture - sort of a 'scar' left over
but why didnt they try to inflate that one last time?
since they were there and thats why i was there - since it takes only minutes to do & theres clearly still a tightening - and i was right there prepped for exactly that purpose?
It seems they've left me with a smaller duodenum, but could have stretched it a bit?
so why didnt they?
is there some reason im not seeing?
can the left over damage not be stretched or something?
Is it literal scar tissue?
im ok, happy the issue is resolved, i just wondered why they wouldnt have given it one last stretch?
Also am i now going to be more prone to indigestion & further risk of blockages etc?
(FYI - the stricture was caused by bad luck really - my taking NSAIDS, which caused an ulcer to form in the 'wrong' place so it swelled up & closed the duodenum, causing a complete blockage - so it likely wont ever happen again.)
thanks :)
Answers
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For more on marking an answer as the "Best Answer", please visit our FAQ.I accept all that I know about you in that you have a duodenal stricture benign in nature, dur to the use of Nsaids.
Scan shows a stricture still in place, whereas direct endoscopy would suggest " no big deal."......so why not dilate anyway?
There are complications to dilating a fibrous stricture owing to ir being fragile, bleeds easily and may rupture into the stomach necessitating and emergency operation.
So unless one has good reasons to dilate........then don't.
I presume that the CT scan was done after your endoscopy.
A clinical and surgical decision made at the time.
Scan shows a stricture still in place, whereas direct endoscopy would suggest " no big deal."......so why not dilate anyway?
There are complications to dilating a fibrous stricture owing to ir being fragile, bleeds easily and may rupture into the stomach necessitating and emergency operation.
So unless one has good reasons to dilate........then don't.
I presume that the CT scan was done after your endoscopy.
A clinical and surgical decision made at the time.
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