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DOI: 10.1055/s-0040-1704399
PER-ORAL ENDOSCOPIC TUNNELING FOR RESTORATION OF THE ESOPHAGUS (POETRE) IN THE MANAGEMENT OF A 45MM COMPLETE ESOPHAGEAL OBSTRUCTION
Publikationsverlauf
Publikationsdatum:
23. April 2020 (online)
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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