Gastroenterology:   Photographs

<> Return To Main Article Menu <>

Dilating a Colonic Stricture with a Balloon

Narrow Colon Stricture
This 78 year old widow underwent abdominal surgery to remove a colon cancer in the past and recently has been having a problem with "pencil-thin" stools. She complained that her bowel movements are difficult to pass and are quite narrower than normal. She and her family doctor were obviously concerned about another cancer in her colon. At colonoscopy, Dr. Fusco was surprised to find that the surgical seam (anaastomosis) where her colon was reconnected had become quite narrow. This was caused by scar tissue, not cancer. The scope could not fit throught this narrow spot. In the photo you can see that instead of being several inches across, it was almost like a pinhole in apprearance. No wonder she was having problems moving her bowels. Also, this narrow spot prevented her from having a full colonoscopy exam to be sure that new polyps had not formed further within her colon.
Balloon in Stricture
In this photo, you can see the balloon dilator catheter which has been passed through the center channel of the colonoscope. Under direct vision, the deflated cigar-shaped balloon is carefully placed to straddle the stricture. The balloon is then inflated with water. As it inflates and becomes wider, the narrow ring is stretched and becomes more open. The balloon dilators come in a variety of sizes. The larger the size the larger the diameter of the balloon. Dividing the size (like 45F) by 3 gives you the approximate width of the balloon. So a 54F balloon is about 18 millimeters wide.
Stricture After Dilation
After the balloon dilator was deflated and removed, the stricture is seen to be more open. The patient was advised to begin a high fiber diet to help keep the stricture from reclosing.
Normal Colon Above
After dilation was completed, the thinner pediatric colonscope was easily passed beyond the stricture and the entire remaining colon was examined. She was relived that no additional polyps or cancer were present within the colon. She is to return every three years to be rechecked.

Text & Images Courtesy of Three Rivers Endoscopy Center
© Dr. Robert Fusco, Three Rivers Endoscopy Center, All Rights Reserved

Medword RSS Medical News Feeds  Medword's RSS Medical Feeds

Medword Resources: Abbreviations & Acronyms ~ Access Symbols ~ ASL Alphabet ~ Back To Basics ~ Big Fish Games ~ Calculators ~ Conversion Tools ~ Crosswords / WordSearch / Sudoku ~ Dictation Tips For Doctors ~ Drug Search ~ Drug Names - Prescription & Over-The-Counter ~ Elements Of Style ~ Ergonomic Guide ~ Free Web Clip-Art ~ Free Icons ~ Gastrology Info/Pics/Video ~ Getting Hired Articles ~ Grief & Suicide Terminology ~ Herb Names - Most Common ~ HIPAA Info ~ Hippocratic Oath ~ How Digital Dictation Works ~ How Digital Transcription Works ~ Human Anatomy ~ Letter Templates - Outlines ~ Medical Coder Defined ~ Medical Prefixes ~ Medical Suffixes ~ Medical Specialty Associations ~ Medical Transcription Surveys ~ Medical Terminology List ~ Medical Transcriptionist Defined ~ Muscle Names & Location ~ Newer Drug Names ~ Online Dictionary List ~ Online Medical Dictionary ~ Orphan Drug Names ~ Physicians' Charter ~ Rare Disease Names ~ Sample Job Contracts ~ Sample Medical Transcription ~ Surgical Instruments ~ Transcription Do's & Don'ts ~ Word List / Phrase Samples ~ Word Look-Up Options
Complete Site List: Here

Medword's Amazon Store:
AAMT Book of Style ~ Abbreviations, Acronyms & Symbols ~ "Books For Dummies" ~ Books for Physicians ~ Dorland's Medical "Word" Books ~ Health Care Admin & Home Business Books ~ Herbal Medicine ~ "Made Incredibly Easy" ~ Mavis Beacon Typing Books ~ Medical Atlases of Human Anatomy ~ Medical Billing Guides & Handbooks ~ Medical Career & Employment Books ~ Medical Coding & ICD-9-CM Handbooks ~ Medical Dictation Techniques ~ Medical Dictionaries & Encyclopedias ~ Medical Terminology ~ Medical Transcription ~ Multilingual Medical Reference ~ Nurse Reference Books ~ Office Ergonomics ~ Pocket Medical Dictionaries ~ Prescription Drug Guides ~ Stedman's Medical "Word" Books
(¯`'•.¸ Amazon Book Search •.¸¸.• Amazon Product Search¸.•'´¯)

Medword: [Home Page] [Store]
Desktop Microphone Systems ~ Digital Voice Recorders ~ Dragon NaturallySpeaking ~ Foot Pedals ~ Headphones, Noise-Cancelling ~ Headsets ~ Headset Ear Cushions ~ Microphones ~ Phone-In Dictation & Transcription ~ Practice Transcription with Real Dictation ~ Sony & Sanyo Microcassette Recorders ~ Sony & Sanyo Microcassette Transcribers ~ Sony Memory Sticks & Adapters ~ Standard Cassette Recorder & Transcriber Machine ~ Tape Eraser ~ TENS Units ~ TENS Unit Electrodes ~ Transcriber Machines New & Used ~ WAVpedal Foot Pedal PC Transcription ~ WAVpedal Software Upgrade ~ WAVpedal Specials
Search Amazon via Medword:   [Books]   [Products]  [Full Store Listing]

[Home]   [About]   [Contact Us]   [Privacy]   [Site Terms]   
[OnLine Sales Terms & Conditions]   [OnLine Sales Return Policy]
[Integrity]   [GeoTrust SSL Secure Store]   [ is a Norton Symantec Safe Web Site Norton Safe Site]