A tight esophageal stricture secondary to a misplaced band and its management

Here we report a case of a tight esophageal stricture and our subsequent management, in particular high- lighting the use of very flexible guidewires and biliary balloons. A 74 year old woman initially presented to a private hospital with hematemesis. Esophagogastroduodeno- scopy (EGD) revealed esophageal varices which were subsequently banded with a multiband shooter. Further investigations confirmed that she had chronic hepatitis B cirrhosis with portal hypertension. Hemostasis was achieved and she was discharged. Four months later she presented again with complaints of progressive dyspha- gia. A barium swallow revealed a tight stricture at the level of the aortic knuckle with eventual filling of the stomach. She was then referred to our hospital, which is a tertiary center, for further management.