Colonic Stricture

30. Colonic stricture blog
  • Your body is like a network of highways, carrying food, fluids, and waste around and out. When certain sections of those roadways narrow because of disease or other reasons, it’s called a stricture. When this roadblock happens in your large intestine, it’s called a colon stricture. Your large intestine, or bowel, is where your body converts digested food into poop . A colon stricture slows or stops that waste from passing through.

  • Following are symptoms of colonic stricture

    • Pain in tummy
    • fullness
    • excess gas formation
    • belching
    • constipation

A colon stricture is a narrowing in parts of your large intestine, or bowel. This is where your body converts digested food into poop. A colon stricture slows or stops that waste from passing through.

No matter the location, strictures come in two types. You could have one or the other, or both.

Fibrotic strictures happen when scar tissue builds up in the bowel from chronic inflammation. They require either a balloon dilatation or a surgery.

Malignant strictures occur due to cancer. It will also require surgery.

There are various ways a stricture in the colon can be treated. Malignant stricture almost always requires surgery.

Balloon dilation may be done. A scope with a light and camera is placed into your colon. A balloon is placed over a guidewire and inflated in the narrow area. Doctor will inflate the balloon several times for short periods. The inflated balloon pushes against the narrow wall and opens it.

stent may need to be placed to open the stricture. A stent is a metal coil. The stent will be left in place to keep the stricture open.

Surgery may be needed if balloon dilation does not work. It may also be needed if your doctor is not able to reach the stricture with a scope. There are 2 types of surgery:

– A resection is used to remove the part of the intestine that has the stricture. Then, the remaining two ends or two sides are sewn together.

– A stricturoplasty may be done but less so in colonic stricture.

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Dr. Harsh J Shah