顺、逆行内镜(CARE)联合咽食管穿刺(PEP)治疗完全性食管内阻

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-09-01 DOI:10.1016/j.vjgien.2014.08.002

Shou-jiang Tang , Ruonan Wu , Avais M. Chatha

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引用次数: 1

摘要

背景食道内腔狭窄在接受喉癌和下咽癌放射治疗的患者中很常见。极少情况下，完全梗阻发生在食道开口。患者和方法在这篇视频中，我们报告了一例完全性肠梗阻的病例，通过联合顺、逆行内镜(CARE)和使用导引丝(pep -导引丝)穿刺咽食管，结合球囊扩张，成功地进行了灵活的内镜治疗。结果采用“CARE - pep导丝法”重建食管腔通畅，无并发症。结论对于完全性食管内径梗阻患者，基于CARE PEP入路有可能重建食管内径通畅。

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Combined Antegrade and Retrograde Endoscopy (CARE) with Pharyngo-esophageal Puncture (PEP) for Complete Esophageal Introital Obstruction

Background

Esophageal introital stenosis is common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. Infrequently, complete obstruction develops within the esophageal introitus.

Patient and methods

In this video manuscript, we present a case of complete introital obstruction in which flexible endoscopic therapy was successfully by performing combined antegrade and retrograde endoscopy (CARE) and pharyngo-esophageal puncture using guide wire (PEP-guide wire), in combination with balloon dilation.