Gastrointestinal Intervention 2018; 7(3): 172-175  https://doi.org/10.18528/gii170030
Balloon dilation of epidermolysis bullosa-related esophageal strictures: A report of two cases
Wei-Zhong Zhou, Jing-Guo Xia, Zheng-Qiang Yang ,* Chun-Gao Zhou, Lin-Bo Zhao, Sheng Liu, Hai-Bin Shi
Department of Radiology, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China
*Department of Radiology, The First Affiliated Hospital, Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, China.
E-mail address: yangzhengqiang@jsph.org.cn (Z.-Q. Yang). ORCID: https://orcid.org/0000-0001-9103-3534
Received: December 21, 2017; Revised: February 2, 2018; Accepted: February 2, 2018; Published online: October 31, 2018.
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cc This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Epidermolysis bullosa (EB) is a very rare inherited disease featured with skin blistering resulting from minor trauma. Sometimes the esophageal mucosa could also be involved, which leads to esophageal strictures. Here we report two cases of EB-related esophageal strictures who were successfully treated with esophageal balloon dilations. The two cases with EB had severe dysphagia. Clinical examination showed signs of malnutrition, skin blisters and loss of toenails due to EB. They underwent careful fluoroscopic balloon dilation with 10- and 16-mm-sized balloon catheters, respectively. They could ingest soft and some solid foods after the procedure and maintained during the 20 months and 16 months follow-up periods.
Keywords: Balloon dilation; Epidermolysis bullosa; Esophageal stenosis; Fluroscopy


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