I have been offered a gastroscopy and during that scope the specialist will decide on whether to dilate or give me botox. I have read a lot about the botox and i don't have much faith in that it will work for long. But the specialist says that he wants to try this first and since i am due to see the referring surgeon again on December 17th for a review i will try anything. My swallowing is getting worse and the hold-up where the pylorus sphincter is situated is getting worse so i will try dilatation/botox first then if the problem is still there in December when i see the surgeon i shall ask if there is a more permanent solution. I have a cousin with the same problem but because of the nature of his work has opted for regular botox every few months for now.