Most benign esophageal strictures can be successfully dilated with conventional bougienage technique. But occasionally strictures are so tight, lengthy, or sometimes irregular that this technique fail and surgical intervention is required. Since 1974 Gruentzig balloon catheter has succeeded when used for strictures in the cardiac and peripheral vasculatures, the biliary and urinary tracts, the colon of neonates after inflammatory disease and also in the esophagus. fluoroscopically guided balloon catheters were used to dilate 30 esophageal strictures in30 patients over 3 years at department of Diagnostic Radiology Chonnam University, College of Medicine. The distribution of age was from 7 years to 71 days and the ratio of male to female was 15 : 15. The causes of benign stricture (23 cases) were post-operative strictures (13), chemical (4), achalasia 93), chronic inflammation (2), esophageal rupture 91) and those 0f malignant stricture 97 cases) were post-radiation stricture of primary esophageal cancer 96) & metastatic esophageal cancer 91). The success rate of procedure was 93% (28/30). The causes of failure were the failure of passage of stricture due to markedly dilated proximal segment of esophagus 91 case) and too long segment of stricture (1 case). Complication of procedure was the diverticula-formation of esophagus in 3 cases, but has no clinical significance in follow-up esophagography. In conclusion, fluoroscoically guided ballon dilation of esophageal stricture appears to be safe, effective treatment and may be have theoritical advantages over conventional bougienage and also should be considered before other methods of treatment are used.