ASGE DDW Videos from Around the World | 2024-PERORAL ENDOSCOPIC TWO WAY TUNNELING AND LUMEN RESTORATION FOR COMPLETE ESOPHAGEAL OBSTRUCTION

PERORAL ENDOSCOPIC TWO WAY TUNNELING AND LUMEN RESTORATION FOR COMPLETE ESOPHAGEAL OBSTRUCTION

Video Transcription

Video Summary

The video transcript discusses a case of complete esophageal obstruction following a laryngectomy, where a patient underwent a paroreal endoscopic two-way tunneling procedure to restore the esophageal lumen using third space techniques. The procedure involved making mucosal incisions and creating a tunnel to bypass the obstruction, followed by the placement of a self-expanding metallic stent. Post-procedure, the patient was able to ingest food normally and underwent follow-up dilatations to manage scarring. This approach was successful in resolving the esophageal obstruction, providing a therapeutic option for cases with obstructions greater than 3 cm in length post-laryngectomy.

Asset Subtitle

World Cup
Authors: Prakash Zacharias, Hasim Ahamed, Shibi Mathew, Kiran J. Kanjamala, Mathew Philip

Meta Tag

Concept Complete Esophageal Obstruction

Concept Paroreal Endoscopic Two-Way Tunneling Technique

Concept Lumen Restoration

Concept Same-day EGD and Colonoscopy

Concept Submucosal Tunneling

Keywords

esophageal obstruction

laryngectomy

paroreal endoscopic two-way tunneling procedure

self-expanding metallic stent

third space techniques

Complete Esophageal Obstruction

Paroreal Endoscopic Two-Way Tunneling Technique

Lumen Restoration

Same-day EGD and Colonoscopy

Submucosal Tunneling