A new endoscopic technique for suspension of esophageal prosthesis for refractory caustic esophageal strictures

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
E AnconaG Battaglia

Abstract

There is no clear consensus concerning the best endoscopic treatment of benign refractory esophageal strictures due to caustic ingestion. Different procedures are currently used: frequent multiple dilations, retrievable self-expanding stent, nasogastric intubation and surgery. We describe a new technique to fix a suspended esophageal silicone prosthesis to the neck in benign esophageal strictures; this permits us to avoid the frequent risk of migration of the expandable metallic or plastic stents. Under general anesthesia a rigid esophagoscope was placed in the patient's hypopharynx. Using transillumination from the optical device, the patient's neck was pierced with a needle. A n.0 monofilament surgical wire was pushed into the needle, grasped by a standard foreign body forceps through the esophagoscope and pulled out of the mouth (as in percutaneous endoscopic gastrostomy procedure). After tying the proximal end of the silicone prosthesis with the wire, it was placed through the strictures under endoscopic view. This procedure was successfully utilized in four patients suffering from benign refractory esophageal strictures due to caustic ingestion. The prosthesis and its suspension from the neck were well-tolerated until remo...Continue Reading

References

Aug 1, 1991·The British Journal of Oral & Maxillofacial Surgery·C J Edge, J D Langdon
Feb 1, 1989·Journal of Pediatric Surgery·F A WijburgN A Urbanus
Jan 1, 1985·JPEN. Journal of Parenteral and Enteral Nutrition·D L Bucklin, R B Gilsdorf
Oct 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G Har-El, A N Balwally
Sep 1, 1999·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·B Berman, F Flores
Dec 22, 1999·The Annals of Otology, Rhinology, and Laryngology·G Har-El
Mar 29, 2005·Journal of Pediatric Surgery·Chi ZhangWei-Xing Zhong

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Citations

Jan 1, 2011·Case Reports in Gastrointestinal Medicine·Raffaele MantaGabrio Bassotti
Sep 19, 2015·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·B J NoordmanJ J B van Lanschot
May 12, 2010·International Endodontic Journal·B TabarsiS Asgary
Nov 3, 2010·Annals of Surgery·Brechtje A GrotenhuisJ J B van Lanschot
Feb 27, 2018·Gut·Sarmed S SamiStephen E Attwood
Jun 17, 2009·Current Opinion in Gastroenterology·Fabio PaceAlessandro Repici
Jan 25, 2012·Journal of Pediatric Gastroenterology and Nutrition·Mounia Lakhdar-IdrissiMoustapha Hida

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