Combined Anterograde and Retrograde Endoscopic Management of Complete Esophageal Obstruction in Absence of Fluoroscopic Guidance.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-01-29 eCollection Date: 2025-02-01 DOI:10.14309/crj.0000000000001594

Muhammad Hassaan Arif Maan, John Esli Medina Morales, Catherine Choi, Muhammad Mursaleen Ahmad, Kaveh Hajifathalian, Weizheng William Wang

引用次数: 0

Abstract

Complete esophageal obstruction is a major side effect of radiotherapy for head and neck cancers. We present a 65-year-old man with complete esophageal obstruction due to chemoradiotherapy and 7 years of gastric tube dependence. A combined anterograde and retrograde endoscopic procedure was successfully performed using direct transillumination from the anterograde scope to visualize and excise the obstructing mucosa, without fluoroscopic guidance. The patient tolerated the procedure well, with no major complications on follow-up. This fluoroscopy-free rendezvous approach is a safe, effective option with practical applications, particularly in resource-limited settings.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.