ESOPHAGEAL DILATATION Esophageal dilation is the stretching of a narrowed area or stricture using a dilator or balloon. This is performed during an upper GI endoscopy (EGD) The procedure is performed with you lying on your left side. Immediately prior to the start of the exam, a small bite block will be inserted into your mouth. After the administration of a mild sedative, the endoscope is gently inserted through your mouth into the upper esophagus. You can breathe easily throughout the exam. PREPARATION: Diet Nothing to eat after midnight the night before your procedure. You may have clear liquids up to five (5) hours before your scheduled arrival time. Medications If you take heart, blood pressure or respiratory medications, take them one hour before your appointment with a small amount of water. Please notify the office if you are taking anticoagulants or blood thinners such as Coumadin, Plavix, Persantine (dipyridamole), Ticlid or aspirin regularly. It is important that these medications are discontinued at least one week prior to your procedure. Special instructions may be necessary. What to wear Wear loose fitting, comfortable clothes. Do not wear heavy or bulky sweaters. Avoid girdles, pantyhose, or tight-fitting garments. You will not be required to change clothes for your procedure. Prior to the procedure you will be asked to remove any dentures or eye glasses. Contact lenses will not need to be removed. Tongue rings will need to be removed prior to the procedure. Monitoring Before the procedure begins, your temperature, pulse, blood pressure and blood oxygen will be measured. During the procedure and recovery period, monitoring of blood pressure, pulse and blood oxygen level is continued. You will receive supplemental oxygen during the procedure using a small tube which fits under your nose. During the procedure, your EKG (heart rhythm) will be monitored also. Transportation Bring a driver since you can not drive yourself home. Because of the effects of the sedation you will be receiving, you will not be able to drive for at least 12 hours after your procedure. If possible, your driver should be someone with whom your doctor can freely discuss the results of your procedure, since you may be a little forgetful afterwards. We request that your driver remain at the center during your test. You should plan on being at the West Shore Endoscopy Center approximately 1 to 2 hours. Your Permission If you have any questions or concerns about this test, do not hesitate to ask your doctor about them. To signify that you completely understand what this test involves and that you are giving permission for the doctor to perform this test, you will be asked to sign a written consent form before the test begins. Your doctor will discuss the exam with you and answer any questions. DISCHARGE INSTRUCTIONS Sedation Because you have been sedated for the procedure, you are not allowed to drive a motor vehicle, operate dangerous machinery, or perform potentially hazardous tasks for at least twelve hours or until you have completely recovered from the effects of the sedation. Medication An intravenous (IV) needle is used to administer the medication for the procedure. Rarely, the medication may irritate the vein with symptoms of redness and soreness along the vein. This will usually disappear over several days though it may last as long as two weeks. Warm soaks to the area will help. If it persists, please call your doctor. Diet Unless instructed otherwise by your physician, slowly resume your regular diet. A light snack as your first food is recommended. You should be back to your regular diet the following day. Activity Rest for the remainder of the day after the procedure. You should be able to resume your regular activity the following day. Other Instructions You may feel slightly bloated following the procedure. This is normal and should go away in a few hours. If biopsies were obtained, you may develop slightly dark bowel movements or spotty rectal bleeding for 1 to 2 days after your procedure. This is normal. Contact your physician if any of the following occur within 24 hours following your procedure: Vomiting blood or black, coffee ground material Severe chest pain or new onset of abdominal pain Difficulty or pain during swallowing Severe dizziness or fainting Sweating, severe nausea or high fever New onset of cough Passage of a large amount of blood or black coffee ground material rectally These symptoms may indicate a complication of the procedure. Your doctor will want to discuss them with you.  PROCEDURE: Esophageal Dilatation
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