Combined Antegrade and Retrograde Endoscopy (CARE) with Pharyngo-esophageal Puncture (PEP) for Complete Esophageal Introital Obstruction

作者: Shou-jiang Tang , Ruonan Wu , Avais M. Chatha

DOI: 10.1016/J.VJGIEN.2014.08.002

关键词: EndoscopyStenosisIn patientIntroitusSurgeryComplete obstructionMedicineEndoscopy careRadiation therapyBalloon dilation

摘要: Abstract Background Esophageal introital stenosis is common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. Infrequently, complete obstruction develops within the esophageal introitus. Patient methods In this video manuscript, we present a case of which flexible endoscopic was successfully by performing combined antegrade retrograde endoscopy (CARE) pharyngo-esophageal puncture using guide wire (PEP-guide wire), combination with balloon dilation. Results lumen patency re-established "CARE PEP-guide wire" method without complications. Conclusions obstruction, CARE PEP based approach can potentially re-establish patency.

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