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ASGE DDW Videos from Around the World | 2022
A NOVEL TECHNIQUE FOR THE TREATMENT OF RADIATION I ...
A NOVEL TECHNIQUE FOR THE TREATMENT OF RADIATION INDUCED ACQUIRED ESOPHAGEAL ATRESIA IN A HEAD AND NECK CANCER PATIENT
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Video Transcription
Video Summary
The video summarizes a novel technique for treating radiation-induced acquired esophageal atresia in a head and neck cancer patient. The patient had severe dysphagia due to hypopharyngeal scarring after completing chemoradiation therapy. An upper endoscopy was attempted, but the hypopharynx was found to be obliterated. A retrograde approach was used, with a pediatric gastroscope inserted through a gastrostomy site, and gentle pressure applied to unfurl the mucosa. A single dilation was performed, allowing for complete resolution of the stenosis in one session. The technique has been successfully used in four other patients with no complications.
Keywords
radiation-induced acquired esophageal atresia
head and neck cancer
dysphagia
hypopharyngeal scarring
chemoradiation therapy
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