Abstract
We describe an improved endoscopic technique for antegrade dilatation of a cervical esophageal stricture performed with the use of using a guide wire, an endoscopic retrograde cholangiopancreatic-duct (ERCP) catheter, and a balloon dilator. The patient was a 55-year-old woman who had a cervical esophageal stricture associated with definitive chemoradiotherapy for advanced esophageal squamous cell carcinoma. Endoscopy showed the stricture was located at the esophageal orifice. The membranous stricture was punctured with an ERCP catheter, and balloon dilators were passed through the stricture under C-arm fluoroscopy. This technique is considered useful for managing severe strictures of the cervical esophagus after combined chemotherapy plus radiotherapy for esophageal cancer.
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References
Laurell G, Kraepelien T, Mavroidis P, Lind BK, Fernberg JO, Beckman M, et al. Stricture of the proximal esophagus in head and neck carcinoma patients after radiotherapy. Cancer. 2003;97:1693–700.
Kilic SS, Gurpinar A, Yakut T, Egeli U, Dogruyol H. Esophageal atresia and tracheo-esophageal fistula in a patient with Digeorge syndrome. J Pediatr Surg. 2003;38:E21–3.
Steele NP, Tokayer A, Smith RV. Retrograde endoscopic balloon dilation of chemotherapy- and radiation-induced esophageal stenosis under direct visualization. Am J Otolaryngol. 2007;28:98–102.
Bueno R, Swanson SJ, Jaklitsch MT, Lukanich JM, Mentzer SJ, Sugarbaker DJ. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2001;54:368–72.
Smith RV, Goldman SY, Beitler JJ, Wadler SS. Decreased short- and long-term swallowing problems with altered radiotherapy dosing used in an organ-sparing protocol for advanced pharyngeal carcinoma. Arch Otolaryngol Head Neck Surg. 2004;130:831–6.
Banerjee A, Rao KS, Nachiappan M. Intrathoracic oesophageal perforations following bougienage: a protocol for management. Aust N Z J Surg. 1989;59:563–6.
Csendes A, Braghetto I. Surgical management of esophageal strictures. Hepatogastroenterology. 1992;39:502–10.
van Twisk JJ, Brummer RJ, Manni JJ. Retrograde approach to pharyngo-esophageal obstruction. Gastrointest Endosc. 1998;48:296–9.
O’Sullivan GC, O’Brien MG. Successful retrograde dilation and oesophageal conservation after failed antegrade management of a reflux stricture. Endoscopy. 1997;29:141.
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Matsutani, T., Matsuda, A., Arai, H. et al. Successful endoscopic dilatation of a severe stricture of the cervical esophagus after definitive combined chemotherapy plus radiotherapy for esophageal cancer. Esophagus 9, 252–256 (2012). https://doi.org/10.1007/s10388-012-0330-z
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DOI: https://doi.org/10.1007/s10388-012-0330-z