© Copyright 2026 American Medical Association. All rights reserved.
Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation followed by therapeutic drug delivery by drug-coated balloon catheter for esophageal stricture is a specialized procedure aimed at treating recurring benign esophageal strictures. This condition occurs when the esophagus narrows, often leading to difficulty swallowing and other complications. The procedure utilizes a flexible endoscope, which is a thin, tube-like instrument equipped with a camera and light, allowing the physician to visualize the esophagus directly. The initial step involves mechanical dilation using a nondrug-coated balloon to widen the stricture. Following this, a drug-coated balloon catheter is employed, which is specifically designed to deliver a therapeutic agent, such as paclitaxel, directly to the site of the stricture. This drug is intended to coat the stricture immediately after dilation, providing immediate symptom relief and reducing the likelihood of fibrotic tissue growth, which can lead to recurrence of the stricture. Fluoroscopic guidance may be utilized during the procedure to enhance the accuracy of the dilation and drug delivery, ensuring optimal treatment outcomes for patients suffering from this condition.
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