Figure 4.

A 74-year-old man with a stricture of a gastroesophageal anastomosis (following esophagectomy and gastric pull-up) causing dysphagia for solid food. (A) Preprocedural esophagogram showing a relatively tight stricture at the anastomotic site (between arrows). (B) Image showing a fully inflated 20-mm-diameter balloon crossing the anastomosis. (C) The postprocedural esophagogram shows no evidence of a perforation. Note that there appears to be relatively little improvement of the anastomotic diameter (between arrows) compared with the preprocedural esophagogram. However, clinically there was marked improvement of the patient's ability to swallow solid food.