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在无透视引导情况下联合顺行和逆行内镜治疗完全性食管梗阻

Combined Anterograde and Retrograde Endoscopic Management of Complete Esophageal Obstruction in Absence of Fluoroscopic Guidance.

作者信息

Maan Muhammad Hassaan Arif, Medina Morales John Esli, Choi Catherine, Ahmad Muhammad Mursaleen, Hajifathalian Kaveh, Wang Weizheng William

机构信息

Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ.

Department of Medicine, Division of Gastroenterology & Hepatology, Rutgers New Jersey Medical School, Newark, NJ.

出版信息

ACG Case Rep J. 2025 Jan 29;12(2):e01594. doi: 10.14309/crj.0000000000001594. eCollection 2025 Feb.

DOI:10.14309/crj.0000000000001594
PMID:39886012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11778083/
Abstract

Complete esophageal obstruction is a major side effect of radiotherapy for head and neck cancers. We present a 65-year-old man with complete esophageal obstruction due to chemoradiotherapy and 7 years of gastric tube dependence. A combined anterograde and retrograde endoscopic procedure was successfully performed using direct transillumination from the anterograde scope to visualize and excise the obstructing mucosa, without fluoroscopic guidance. The patient tolerated the procedure well, with no major complications on follow-up. This fluoroscopy-free rendezvous approach is a safe, effective option with practical applications, particularly in resource-limited settings.

摘要

完全性食管梗阻是头颈部癌症放疗的主要副作用。我们报告一名65岁男性，因放化疗导致完全性食管梗阻，且依赖胃管7年。在无荧光透视引导的情况下，通过顺行内镜的直接透照来可视化并切除阻塞性黏膜，成功实施了顺行和逆行联合内镜手术。患者对手术耐受性良好，随访期间无重大并发症。这种无荧光透视的会师方法是一种安全、有效的选择，具有实际应用价值，特别是在资源有限的环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/82039919d6d7/ac9-12-e01594-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/c4831cd853e1/ac9-12-e01594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/f388268f9f5b/ac9-12-e01594-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/d86eda3d5037/ac9-12-e01594-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/64b9a82338b4/ac9-12-e01594-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/45b6c25d801b/ac9-12-e01594-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/82039919d6d7/ac9-12-e01594-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/c4831cd853e1/ac9-12-e01594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/f388268f9f5b/ac9-12-e01594-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/d86eda3d5037/ac9-12-e01594-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/64b9a82338b4/ac9-12-e01594-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/45b6c25d801b/ac9-12-e01594-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e9/11778083/82039919d6d7/ac9-12-e01594-g006.jpg

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本文引用的文献

1
Combined Antegrade-Retrograde Dilation of Radiation-Induced Benign Esophageal Stenosis.顺行-逆行联合扩张治疗放射性良性食管狭窄
ACG Case Rep J. 2023 Jan 25;10(1):e00947. doi: 10.14309/crj.0000000000000947. eCollection 2023 Jan.
2
Safety and efficacy of combined antegrade and retrograde endoscopic dilation for complete esophageal obstruction: a systematic review and meta-analysis.顺行和逆行联合内镜扩张术治疗完全性食管梗阻的安全性和有效性：一项系统评价和荟萃分析
Ann Gastroenterol. 2019 Jul-Aug;32(4):361-369. doi: 10.20524/aog.2019.0385. Epub 2019 May 16.
3
Management of Refractory Benign Esophageal Strictures.
难治性良性食管狭窄的管理
Gastroenterol Hepatol (N Y). 2018 Mar;14(3):189-191.
4
Endoscopic and Abdominal Management of Complete Benign Esophageal Obstruction.完全性良性食管梗阻的内镜及腹部处理
ACG Case Rep J. 2016 Apr 15;3(3):162-4. doi: 10.14309/crj.2016.37. eCollection 2016 Apr.
5
Endoscopic dilation of complete oesophageal obstructions with a combined antegrade-retrograde rendezvous technique.采用顺行-逆行会师技术对完全性食管梗阻进行内镜扩张术。
World J Gastroenterol. 2016 Feb 21;22(7):2366-72. doi: 10.3748/wjg.v22.i7.2366.