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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 on theme: "Simple and Useful Endoscopic Technique in the Re-Establishment of Esophageal Patency for the Treatment of a Completely Obstructed Esophagus  Cliff K."— Presentation transcript:

1 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 (April 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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