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. 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.