Endoscopy 2020; 52(S 01): S54-S55
DOI: 10.1055/s-0040-1704170
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 16:30 – 18:00 Stent, seal, stitch. Advanced upper GI Ecocem Room therapeutics
© Georg Thieme Verlag KG Stuttgart · New York

RECANALIZATION OF ESOPHAGEAL OCCLUSION BY ELECTROCAUTERY ENHANCED ENDOSCOPIC RENDEZ-VOUS

Authors

  • F Junquera

    1   Corporacion Universitaria Parc Tauli, Gastroenterology, Sabadell, Spain

  • S Machlab

    2   Corporación Universitaria Parc Taulí, Gastroenterology, Sabadell (Barcelona), Spain

  • V Puig-Diví

    3   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain

  • E Martínez-Bauer

    3   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain

  • E Brunet

    3   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain

  • L Hernández

    3   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain

  • P Pedregal

    3   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain

  • J Vives

    4   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain,

  • E Brullet

    5   Corporación Sanitaria Parc Taulí, Sabadell (Barcelona), Spain

  • R Campo

    3   Corporación Universitaria Parc Taulí, Sabadell (Barcelona), Spain
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A gastroscope was introduced per os, and an ultrathin gastroscope was introduced retrogradely, until esophageal occlusion.

After transillumination and X-Ray guided endoscopic alignment, a tunnel through the disconnected esophagus was performed using the electrocautery of “Hot Axios” stent. Axios stent was deployed but the proximal flange dislodged. A guide wire was introduced and a balloon dilation was performed.

The axios stent was removed and a fully covered stent was deployed, left in place for 4 months and withdrawn with “stent in stent” technique. Despite oral steroids, an esophageal stricture developed, that was solved with 4 dilation sessions and intralesional steroids.