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They couldn't get the scope in. Said the opening was too narrow and there was scar tissue. Is this a stricture? I was out of it and the dr. Didn't really give much info, just told me to go to someone else. I don't get the scar tissue, my surgery was 9.5 years ago and I was scoped 2 years later and was fine, does scar tissue develop years later? I'm once again more confused then ever.

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Yes, this is an anal stricture. I guess your doctor did not feel dilating you even though you were under sedation. It could possibly be a very fibrotic stricture, which is more difficult to break up.

And unfortunately, yes, anal strictures can slowly develop over time, even if you were good to go years ago.

Have you been having symptoms, like difficulty emptying? Did the doctor try a small diameter scope? My GI uses an upper endoscope because it is small and more maneuverable. Did your doc give you a referral to who you should see?

Jan Smiler
Jan Dollar
I am sorry to hear about your situation. I am not sure who did your scope, but a good GI or colorectal surgeon may be able to scope you with a smaller scope as Jan indicated. I have a stricture and my GI also uses very small scope.

Typically what they try to do is stretch outlet where the stricture is either manually with their finger or if stubborn they may try a balloon dilation. Depending on the severity of it, it could take more than one dilation to help break it up.

Did you have symptoms which led you to the doctor for a scope? I traditionally have trouble emptying and often have to visit the bathroom several times within a short period of time to fully empty my pouch and I find I strain at times also.
J
The scope was just to check out my pouch really, it hadn't been scoped in a long time and I've been having alot of stomach problems and inflammation in my small intestine.
Knowing I have a stricture makes me realize I have had symptoms, but I didn't even know what a stricture was so I didn't make the connection. They are going to help me get into a surgeon I believe, my current dr. I a GI, but not a surgeon. He said he used the smallest scope they had he wasn't comfortable pushing it b/c he hasn't done it before, so I need someone with more jpouch experience.
N

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