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Esophageal Stricture (Benign)  311.e1





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           ESOPHAGEAL STRICTURE  A 180-cm catheter (distal portion shown) with a
           15-mm outer diameter esophageal/pyloric balloon (CRE wire-guided balloon [Boston
           Scientific, Natick, MA]) (top) and a 180-cm catheter (distal portion shown) with a
           40-mm outer diameter rectosigmoid dilator balloon (bottom).



























            A                                  B                                 C
                          ESOPHAGEAL STRICTURE  Digital images obtained during esophagoscopy. A, A stricture site is apparent in the
                          center of the image. Very little material (except small amounts of liquids) could pass through this opening. B, Placement
                          of a balloon in the stricture site. Balloon is partially inflated and momentarily will be fully inflated to stretch/break
                          the fibrous stricture or cicatrix. C, Esophageal stricture after balloon dilation. Note bleeding at the site, but the lumen
                          diameter is markedly enlarged. Goal is to minimize the degree of inflammation secondary to ballooning to help avoid
                          stricture redevelopment after ballooning.
























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