VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
Peroral endoscopic 2-way tunneling and lumen restoration for complete esophageal obstruction.
СтатьяНазвание и аннотация: Перевод в очереди
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Zacharias Prakash, Ahmed Hasim, Mathew Shibi, Josy Kiran, Pai Remya R, Philip Mathew
Аннотация
BACKGROUND AND AIMS: Complete esophageal obstruction with a stricture more than 3 cm in length is a challenge for endoscopic and surgical treatments. Lumen restoration may be achieved by the endoscopic tunneling technique.
METHODS: Using the third-space technique by connecting 2 tunnels created from either side, we created a neo-lumen in a patient with complete esophageal obstruction in the postcricoid region. The lumen was kept patent by placing a temporary fully covered self-expandable metal stent.
RESULTS: Adequate lumen was achieved after stent removal. On follow-up, multiple sessions of dilation were required initially. However, no interventions were required in the last 1 year.
CONCLUSIONS: The endoscopic tunneling technique can provide lumen restoration in patients with complete esophageal obstruction.
METHODS: Using the third-space technique by connecting 2 tunnels created from either side, we created a neo-lumen in a patient with complete esophageal obstruction in the postcricoid region. The lumen was kept patent by placing a temporary fully covered self-expandable metal stent.
RESULTS: Adequate lumen was achieved after stent removal. On follow-up, multiple sessions of dilation were required initially. However, no interventions were required in the last 1 year.
CONCLUSIONS: The endoscopic tunneling technique can provide lumen restoration in patients with complete esophageal obstruction.