How to care for patients with esophageal stricture after dilation

Update Date: 2022-04-07 Source: Network

summary

Esophageal stenosis can cause eating difficulties, resulting in loss of appetite, dyspepsia and other symptoms. At this time, we need to take esophageal dilation. The process of esophageal dilatation is more painful. Let's talk about the nursing of esophageal stenosis dilatation.

How to care for patients with esophageal stricture after dilation

First: esophageal dilation treatment, is in the implementation of throat local anesthesia, a silicone tube from the mouth into the esophagus for expansion. It has the effect of dilation therapy for patients with esophageal stricture and dysphagia due to corrosion injury or operation. Generally speaking, this is a relatively safe treatment, but there may still be accidents that cannot be prevented.

Second: diet nursing. The patients were encouraged to drink more water after operation to make the stent expand to the best state. Although the stenosis was spread by the stent, the inner diameter was limited, generally in the size of 14mm. Therefore, the patient is advised to take liquid food as the main food in a week, and then can take semi liquid food or soft food as appropriate, chew the food carefully, swallow a little slowly, and do not "gobble down" to avoid obstruction.

Third: because the stent has no "valve" effect at present, it is easy to cause reflux of gastric contents after placement, resulting in serious reflux esophagitis, followed by esophageal ulcer complicated with bleeding and aspiration pneumonia. Therefore, the patients are advised to maintain a straight three-dimensional position for a considerable time (about 30 minutes) before eating, and raise the head of bed 15 ° to 30 ° during sleep to prevent reflux.

matters needing attention

It is very serious that esophageal perforation is easily caused by improper postoperative nursing of esophageal stricture dilation. When nursing, we should pay attention to the diet and psychological adjustment of patients. Try to let patients eat some soft food, light food.