Simple and Useful Endoscopic Technique in the Re-Establishment of Esophageal Patency for the Treatment of a Completely Obstructed Esophagus Cliff K.

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Presentation transcript:

Simple and Useful Endoscopic Technique in the Re-Establishment of Esophageal Patency for the Treatment of a Completely Obstructed Esophagus Cliff K. Choong, Carlo Martinez, MD, Bryan F. Meyers, MD The Annals of Thoracic Surgery Volume 81, Issue 4, Pages 1519-1521 (April 2006) DOI: 10.1016/j.athoracsur.2005.02.027 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Barium esophagram demonstrating a complete obstruction of the esophagus at the level of the carina. (B) Chest computed tomographic scan showing a 3-cm soft tissue mass occupying the mid-esophagus with involvement and narrowing of the left main bronchus. (C) Bronchoscopic view of a near total obstruction of the left main bronchus. (D) Photograph of a 2 × 2 cm piece of plastic pill wrapper with sharp edges removed from the left main bronchus. The Annals of Thoracic Surgery 2006 81, 1519-1521DOI: (10.1016/j.athoracsur.2005.02.027) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Endoscopic photograph showing a complete obstruction of the mid-esophagus. Transillumination from the retrograde esophagoscope is seen through the obstructing tissues. (B) Radiograph showing alignment of antegrade and retrograde flexible esophagoscopes. (C) Re-established esophageal lumen with Polyflex stent placed. (D) Roentgenogram showing position of the esophageal stent (three separate dotted circles) and clear lung fields. The Annals of Thoracic Surgery 2006 81, 1519-1521DOI: (10.1016/j.athoracsur.2005.02.027) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions