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BougieCap Dilation in Eosinophilic Esophagitis for Stricture Treatment under Visual and Haptic Control

DOI https://doi.org/ 10.1055/s-0040-1716586 ISSN 0976-5042. ©2020 Society of Gastrointestinal Endoscopy of India A 51-year-old male with a recently established diagnosis of stricturing eosinophilic esophagitis (EoE) under antiinflammatory treatment with orodispersible budesonide 1-mg bid presented for esophageal stricture treatment due to persistent dysphagia. The recent (“subacute”) esophagogastroduodenoscopy (EGD) indicated discrete EoE stigmata, such as edema with reduced vascular pattern, discrete linear furrows, and rings (►Fig. 1A), as well as a hardly passable stricture of an estimated 2-cm axial length in the distal esophagus (►Fig. 1B), summing up to an endoscopic reference score (EREFS) of 5 points. The patient underwent esophageal dilation without fluoroscopy using a 12and 14-mm BougieCap (Ovesco Endoscopy, Tübingen, Germany) as an innovative novel endoscopy accessory for stricture treatment under visual and haptic control.1 During slow and judicious increases in forward forces within the stricture with marked circumferential mucosal whitening reflective of tissue traction, mucosal lacerations and tears at 7 and 11 o’clock (►Fig. 1C) and later on at 1 o’clock became visible. (►Fig. 1D) The further clinical course was uncomplicated, J Digest Endosc:2020;11:223–224