Endoscopic dilation of complete oesophageal obstructions with a combined antegrade-retrograde rendezvous technique

World Journal of Gastroenterology : WJG
Reto BertoliniMichael Christian Sulz

Abstract

To investigate the combined antegrade-retrograde endoscopic rendezvous technique for complete oesophageal obstruction and the swallowing outcome. This single-centre case series includes consecutive patients who were unable to swallow due to complete oesophageal obstruction and underwent combined antegrade-retrograde endoscopic dilation (CARD) within the last 10 years. The patients' demographic characteristics, clinical parameters, endoscopic therapy, adverse events, and outcomes were obtained retrospectively. Technical success was defined as effective restoration of oesophageal patency. Swallowing success was defined as either percutaneous endoscopic gastrostomy (PEG)-tube independency and/or relevant improvement of oral food intake, as assessed by the functional oral intake scale (FOIS) (≥ level 3). The cohort consisted of six patients [five males; mean age 71 years (range, 54-74)]. All but one patient had undergone radiotherapy for head and neck or oesophageal cancer. Technical success was achieved in five out of six patients. After discharge, repeated dilations were performed in all five patients. During follow-up (median 27 mo, range, 2-115), three patients remained PEG-tube dependent. Three of four patients achieved releva...Continue Reading

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Citations

May 22, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Akihiko KidaAkito Sakai
Nov 28, 2018·GE Portuguese Journal of Gastroenterology·Diana MartinsMário Dinis-Ribeiro
Jun 17, 2020·Journal of Pediatric Gastroenterology and Nutrition·Abdul R ShaheinRicardo A Arbizu
Mar 13, 2021·Dysphagia·Alessandro Fugazza, Alessandro Repici
May 28, 2021·World Journal of Gastrointestinal Oncology·Hannah McCaughanJohn J McGoran

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