Endoscopy 2020; 52(S 01): S130
DOI: 10.1055/s-0040-1704399
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 11:00 – 13:00 Esophageal therapy: No limits?! Wicklow Meeting Room 3
© Georg Thieme Verlag KG Stuttgart · New York

PER-ORAL ENDOSCOPIC TUNNELING FOR RESTORATION OF THE ESOPHAGUS (POETRE) IN THE MANAGEMENT OF A 45MM COMPLETE ESOPHAGEAL OBSTRUCTION

C Félix
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
P Barreiro
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
JA Rodrigues
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
I Carina
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
R Mendo
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
L Maia
2   Centro Hospitalar do Porto, Gastroenterology Department, Porto, Portugal
,
R Kuttner-Magalhães
2   Centro Hospitalar do Porto, Gastroenterology Department, Porto, Portugal
,
I Pedroto
2   Centro Hospitalar do Porto, Gastroenterology Department, Porto, Portugal
,
C Chagas
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 
 

    A 54-year-old man submitted to chemoradioterapy presented with aphagia due to a long complete post-radioterapy esophageal obstruction(CEO). Simultaneous-dual-endoscope procedure(one via the mouth and another simultaneously inserted through the PEG-tube-tract) was performed. Retrograde submucosal tunneling was started distal to the obstruction, and the fibrotic tissue was carefully dissected under endoscopic and fluoroscopic guidance. Once the two endoscopes were in close proximity, fibrotic tissue was incised, restoring esophageal continuity, and a stent was placed, maintaining a new esophageal lumen.

    POETRE was described in 2014, being limited to a few case reports. Our case supports this technique for the management of long CEO.


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