Successful endoscopic recanalization of complete pharyngoesophageal obstruction after therapy of head and neck cancer.
作者信息
Schlosser Tobias, Wiegand Susanne, Dietz Andreas, Hollenbach Marcus, Lübbert Christoph, Mössner Joachim, Hoffmeister Albrecht
机构信息
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Neurology and Dermatology, Leipzig University Hospital, Leipzig, Germany.
Department of Otolaryngology, Head and Neck Surgery, Leipzig University Hospital, Leipzig, Germany.
出版信息
Z Gastroenterol. 2019 Aug;57(8):971-976. doi: 10.1055/a-0958-2916. Epub 2019 Aug 9.
BACKGROUND
Neopharyngeal obstruction after therapy of head and neck cancer is a frequent and clinically challenging problem without evidence-based guideline recommendations.
CASE
We present two cases of complete esophageal obstruction after treatment for head and neck cancer. Due to complete obstruction of long distance stricture standard dilatation procedures were impossible to perform. In both cases, recanalization was achieved by combining an antegrade with a retrograde maneuver. In one patient endoscopic cutting with a papillotome was needed.
CONCLUSION
Even in complex cases of post-therapeutic stenosis an endoscopic approach may offer a feasible alternative to surgical therapy, especially in the subset of frail patients.
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