Tight near-total corrosive strictures of the proximal esophagus with concomitant involvement of the hypopharynx: Flexible endoscopic management using a novel technique

Figure 5 Near-total strictures in case 2 and their management. A: Lateral view of the esophagogram showing the 2 near-total strictures; B: Endoscopic view through the right piriform sinus showing the tiny opening of the proximal near-total stricture. C: A flexible guide-wire was successfully passed across both the strictures; D, E: A 10F diathermic dilator being passed over the guide-wire to dilate the strictures. This was followed by balloon dilatation; F: Endoscopic view of electroincision (with a wire-guided sphincterotome) of the residual adhesions in the proximal stricture; G: The follow-up esophagogram at 2 wk of the completion of endoscopic therapy.