Whether patients with eosinophilic esophagitis are at higher risk of perforation due to esophageal dilation than other patients undergoing dilation is not clear. Older studies suggested that patients with eosinophilic esophagitis are at increased risk of perforation, with perforation rates of 5 to 7 percent.
One of the most important studies was published by Jung KW et al. in Gastrointest Endosc 2011, 73 (1): 15 (Occurrence of and risk factors for complications after endoscopic dilation in eosinophilic esophagitis).
Conclusion of this study on a total of 293 dilations performed in 161 patients is that a deep mucosal tears are common after dilation (9%), but the risk of immediate transluminal perforation with EoE is approximately 1%. The risk of severe complications is Increased in patients with proximal stricture and the presence of a stricture that could not be traversed with a standard upper endoscope, and the use of Savary dilators. Major bleeding occurred in 0.3 percent.
I would offer this feedback. Have your patient tested for Bacillus Thuringienisis expression. If positive, have them remove all GMO crops and ingredients from their diet, ideally converting to a fully organic diet. Finally, they need to reset their gut flora to eliminate the invasive Soy RNA that integrates into the flora, producing BT toxin from within the patients own body.
I've just resolved my own 8 year case of EoE, with all the classic horrors - dysphasia, achalasia, impaction, regurgitation, weight loss and struggling to thrive. My weight is recovering, and my eosinophil counts are returning to normal.
Proof is in the pudding.
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