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.

查看原文本刊更多论文

无透视指导下顺、逆行联合内镜治疗完全性食管梗阻。

完全性食道梗阻是头颈部肿瘤放疗的主要副作用。我们报告了一位65岁的男性患者，由于放化疗和7年的胃管依赖而完全食道梗阻。在没有透视指导的情况下，通过顺行镜的直接透照，成功地进行了顺行和逆行联合内镜手术，以观察和切除阻塞的粘膜。患者对手术的耐受性良好，随访时无重大并发症。这种无需透视的交会方法在实际应用中是一种安全、有效的选择，特别是在资源有限的环境中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.