ASGE DDW Videos from Around the World | 2022-A NOVEL TECHNIQUE FOR THE TREATMENT OF RADIATION INDUCED ACQUIRED ESOPHAGEAL ATRESIA IN A HEAD AND NECK CANCER PATIENT

A NOVEL TECHNIQUE FOR THE TREATMENT OF RADIATION INDUCED ACQUIRED ESOPHAGEAL ATRESIA IN A HEAD AND NECK CANCER PATIENT

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