What is the standard treatment for strictures after gastric bypass surgery?

The standard treatment for strictures following gastric bypass surgery is balloon dilation. Strictures can occur as a consequence of surgical alteration of the gastrointestinal tract, leading to narrowing at the site of the anastomosis or other areas, which can cause significant issues with eating and nutrient intake.

Balloon dilation is a minimally invasive procedure where a deflated balloon is inserted through an endoscope and then inflated at the site of the stricture. This helps to widen the narrowed area, allowing for better passage of food and liquids, thereby alleviating symptoms associated with the stricture. It is often preferred due to its effectiveness and lower risk compared to surgical options.

Other treatments, such as surgical resection, while sometimes necessary, are generally reserved for cases where balloon dilation fails or if there are complications requiring more invasive intervention. Medication therapy typically does not directly address the physical narrowing caused by the stricture, and dietary modification may assist in managing symptoms but does not resolve the underlying stricture itself. Thus, balloon dilation stands out as the most appropriate standard treatment in this context.