Balloon dilatations is the preferred method of dilatation for most gas
trointestinal strictures, because of its efficacy and relative safety.
Radiologically guided balloon dilatation was successful in 20 of 24 p
atients referred for dilatation with a variety of tight gastrointestin
al strictures with diameters of 0.5 cm or less. Attempts at endoscopic
or bougie dilatation had either failed or were felt unlikely to be su
ccessful. A satisfactory result was obtained in all cases in which dil
atation was performed. There were no serious complications. Radiologic
ally guided balloon dilatation is both safe and effective for the trea
tment of very tight or obstructing gastrointestinal strictures.