As dilation begins, the dilators tend to move into the stomach, and an upward tension should be maintained on the dilator to prevent this movement. The dilator is expanded until the waist is obliterated and maintained in this position for at least 20 seconds; we use 1 to 3 minutes in our unit. Repeat dilation in the same session is used in our unit at least 3, dilation are done. The subsequent balloon inflation will require same balloon pressure to achieve waist obliteration. The use of routine endoscopy or routine barium studies after dilation is not used in our unit. Observation takes place for 4 hours
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