How do you handle patients with suspected or diagnosed gastrointestinal strictures requiring dilation?

Sample interview questions: How do you handle patients with suspected or diagnosed gastrointestinal strictures requiring dilation?

Sample answer:

1. Obtain a Thorough Medical History:
2. Inquire about symptoms like abdominal pain, difficulty swallowing, nausea, vomiting, and changes in bowel habits.

3. Ask about any history of gastrointestinal surgeries, radiation therapy, or inflammatory bowel disease.

4. Perform a Physical Examination:

5. Examine the abdomen for tenderness, distension, or masses.
6. Auscultate bowel sounds to assess for any abnormalities.

7. Evaluate for signs of malnutrition and dehydration.

8. Order Diagnostic Tests:

9. Request imaging studies such as X-rays, CT scans, or MRIs to visualize the stricture.

10. Consider upper or lower endoscopy to directly visualize the stricture and obtain biopsies if necessary.

11. Collaborate with a Gastroenterologist:

12. Work closely with a gastroenterologist to develop an appropriate treatment plan.

13. Discuss the risks and benefits of various dilation techniques, including balloon dilation, Savary dilation, or bougies.

14. Educate the Patient:

15. Provide clear explanations about the condition, treatment options, and potential complications.

16. Encourage the patient to ask questions and express their concerns.

17. Prepare the Patient for Dilation:

18. Provide clear instructions on how to prepare for the procedure, including fasting and medication adjustments.

19. Dispel any fears or anxiety the patient may have regarding the procedure.

20. Administer Medications:

21. Administer pain medication or anxiolytics as prescribed by the physician to help manage discomfort during the procedure.

22. Monitor the Patient During Dilation:

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