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Fluoroscopically Guided Balloon Dilation of Anastomotic Strictures After Total Gastrectomy: Long-Term Results

Young Kwon Cho1, Ji Hoon Shin, Byung-Shik Kim, Jung-Hwan Yook, Ho-Young Song, Jin Hyung Kim and Jae-Ik Bae

1 All authors: Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Poongnap-dong, Songpa-gu, Seoul, South Korea.


Figure 1
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  		Fig. 1A —66-year-old man with dysphagia and vomiting (patient 18) who underwent fluoroscopically guided balloon dilation for anastomotic stricture of esophagojejunostomy. Esophagogram before balloon dilation shows severe anastomotic stricture (arrow) on anastomosis.

 

Figure 2
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  		Fig. 1B —66-year-old man with dysphagia and vomiting (patient 18) who underwent fluoroscopically guided balloon dilation for anastomotic stricture of esophagojejunostomy. Esophagograms show 20-mm balloon placed and inflated until waist (B) formed by stricture disappeared (C).

 

Figure 3
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  		Fig. 1C —66-year-old man with dysphagia and vomiting (patient 18) who underwent fluoroscopically guided balloon dilation for anastomotic stricture of esophagojejunostomy. Esophagograms show 20-mm balloon placed and inflated until waist (B) formed by stricture disappeared (C).

 

Figure 4
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  		Fig. 1D —66-year-old man with dysphagia and vomiting (patient 18) who underwent fluoroscopically guided balloon dilation for anastomotic stricture of esophagojejunostomy. Esophagogram obtained immediately after balloon dilation shows dilated luminal diameter and improved contrast passage.

 

Figure 5
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  		Fig. 2A —59-year-old man with dysphagia (patient 8) and intramural rupture of anastomosis (type 1 rupture) after balloon dilation. Esophagogram obtained immediately after balloon dilation shows small amount of barium leakage (arrow). There was no specific pain after balloon dilation.

 

Figure 6
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  		Fig. 2B —59-year-old man with dysphagia (patient 8) and intramural rupture of anastomosis (type 1 rupture) after balloon dilation. One-month follow-up esophagogram shows healed intramural tear with increased luminal diameter.

 

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