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


METHODS
Case study.


METHODS
Interventional radiology.


METHODS
Epidermolysis bullosa with esophageal stricture.


METHODS
Endoscopic- and guidewire-guided sharp recanalization.


METHODS
Radiologic evidence of stricture resolution.


RESULTS
Successful recanalization.


CONCLUSIONS
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.
Thornton
Raymond H
RH
Section of Interventional Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Heyman
Melvin B
MB
Wilson
Mark W
MW
Zarrinpar
Ali
A
Kerlan
Robert K
RK
LaBerge
Jeanne M
JM
Zwass
Maurice
M
Gordon
Roy L
RL
D000328:Adult; D002404:Catheterization / Q000295:instrumentation; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D016099:Endoscopy, Gastrointestinal; D004820:Epidermolysis Bullosa / Q000150:complications* / Q000628:therapy*; D004940:Esophageal Stenosis / Q000209:etiology* / Q000628:therapy*; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D009339:Needles; D012008:Recurrence; D012086:Reoperation