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Endoscopy 2016; 48(02): 179-183
DOI: 10.1055/s-0034-1393129
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Efficacy of the endoscopic rendez-vous technique for the reconstruction of complete esophageal disruptions

Jean-Michel Gonzalez
1   Department of Gastroenterology, North Hospital, Aix-Marseille University, Marseille, France
,
Geoffroy Vanbiervliet
2   Department of Gastroenterology, L’Archet Hospital, Nice University, Nice, France
,
Mohamed Gasmi
1   Department of Gastroenterology, North Hospital, Aix-Marseille University, Marseille, France
,
Jean-Charles Grimaud
1   Department of Gastroenterology, North Hospital, Aix-Marseille University, Marseille, France
,
Marc Barthet
1   Department of Gastroenterology, North Hospital, Aix-Marseille University, Marseille, France
› Author Affiliations
Further Information

Publication History

submitted 23 May 2015

accepted after revision 29 July 2015

Publication Date:
01 October 2015 (online)

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Background and study aims: The rendezvous endoscopic approach, already described, might be an interesting technique in complete esophageal obstructions (CEO).

Patients and methods: This retrospective report on nine patients referred because of CEO classified patients into two groups based on length of their esophageal disruption: the long (> 5 cm) group were three patients (esophageal stripping at stent removal [n = 2] and caustic ingestion [n = 1]; two patients having superior esophageal sphincter [SES] destruction); the short (< 5 cm) group were six patients (anastomotic or post-radiotherapy). The procedures were performed under radiographic guidance.

Results: All the reconstructions were successful. In four patients, a neo-SES was created, by transillumination (n = 2) or surgery (n = 2). The first dilation was performed by hydrostatic balloon, with additional metal stents (n = 4) and nasogastric tubes (n = 2) used. All the patients were able to eat after the procedure. Two delayed bleeds occurred, which were managed endoscopically. The patients underwent a median of seven dilations (range 3 – 55) over 8 months (2 – 32 months), with dilations ongoing in five patients, but all able to eat normally.

Conclusion: Endoscopic rendezvous for CEO is safe and effective, even in patients with long disruptions and complete loss of SES.

Table e1 and Fig. e2, e3

 

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