Combined Antegrade and Retrograde Endoscopy (CARE) with Pharyngo-esophageal Puncture (PEP) for Complete Esophageal Introital Obstruction Shou-jiang Tang,

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Presentation transcript:

Combined Antegrade and Retrograde Endoscopy (CARE) with Pharyngo-esophageal Puncture (PEP) for Complete Esophageal Introital Obstruction Shou-jiang Tang, Ruonan Wu, Avais M. Chatha Video Journal and Encyclopedia of GI Endoscopy Volume 2, Issue 2, Pages 65-69 (September 2014) DOI: 10.1016/j.vjgien.2014.08.002 Copyright © 2014 The Authors Terms and Conditions

Figure 1 Antegrade endoscopic views of the proximal end of the complete obstruction within the esophageal introitus (A), the stiff end of the ERCP wire guide going through the obstruction during pharyngo-esophageal puncture procedure (B and C) and balloon dilation of the stenosis over the wire guide to 10mm (D). Video Journal and Encyclopedia of GI Endoscopy 2014 2, 65-69DOI: (10.1016/j.vjgien.2014.08.002) Copyright © 2014 The Authors Terms and Conditions

Figure 2 Retrograde endoscopic views of the distal end of the complete obstruction within the esophageal introitus (A), trans-obstruction light illumination during combined endoscopy (B), the stiff wire end during pharyngo-esophageal puncture (PEP) (C), the complete obstruction is being puncturing the balloon catheter over the established wire guide (D), balloon dilation of the stenosis to 10mm (E), and the endoscopic view of the treated obstruction (F). There is no significant tear or bleeding. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 65-69DOI: (10.1016/j.vjgien.2014.08.002) Copyright © 2014 The Authors Terms and Conditions

Figure 3 Endoscopic image showing introital patency during subsequent antegrade endoscopy in 2 weeks (A), followed by balloon dilation to 15mm; introital patency in 4 weeks (B), followed by balloon dilation to 18mm (C). Video Journal and Encyclopedia of GI Endoscopy 2014 2, 65-69DOI: (10.1016/j.vjgien.2014.08.002) Copyright © 2014 The Authors Terms and Conditions