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DOI: 10.1055/s-0042-1744605
THE RECONSTRUCTION OF ESOPHAGUS WITH DOUBLE ENDOSCOPY TECHNIQUE FOR TREATMENT OF TOTAL ESOPHAGEAL STENOSIS (4CM) SECONDARY TO RADIOTHERAPY
72-year-old patient presented with laryngeal carcinoma history treated with radiotherapy. The patient was planned to assess with endoscopy for dysphagia, but it was unable to see distal to esophagus.Percutaneous-gastrostomy was placed to provide feeding.
The reconstruction procedure was planned.PEG tube was removed.Nasal-endoscope was entered from PEG-orifice to approach the stenosis from retrograde under fluoroscopy.The standard-endoscope used to reach to stenosis from oral-side.The light of the standard-endoscope was turned-off.The transillumination path of the retrograde endoscope was followed and under fluoroscopy,endoscopic-knife incision was made to reach esophageal-lumen from oral-side to distal esophagus.Then,the stenotic segment was dilated.Afterwards,stent was placed at the stenotic segment
Publication History
Article published online:
14 April 2022
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