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Gastrointest Endosc. 2006 Nov;64(5):793-6.

Sharp recanalization of a short esophageal occluding stricture in a patient with epidermolysis bullosa.

Author information

1
Section of Interventional Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.

Abstract

BACKGROUND:

Although esophageal strictures caused by epidermolysis bullosa are often treated with balloon dilations, complete obstruction has few effective therapies except esophagectomy with colonic replacement.

OBJECTIVE:

Resolution of esophageal obstructive lesion without surgical intervention.

DESIGN:

Case study.

SETTING:

Interventional radiology.

PATIENT:

Epidermolysis bullosa with esophageal stricture.

INTERVENTION:

Endoscopic- and guidewire-guided sharp recanalization.

MAIN OUTCOME MEASUREMENT:

Radiologic evidence of stricture resolution.

RESULTS:

Successful recanalization.

LIMITATIONS:

Experience of operators (anesthesiologist, endoscopist, interventional radiologist).

CONCLUSIONS:

Sharp recanalization of a complete stricture in patients with epidermolysis bullosa is feasible in a controlled setting.

Comment in

PMID:
17055877
DOI:
10.1016/j.gie.2006.07.029
[Indexed for MEDLINE]

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