ASGE DDW Videos from Around the World | 2026-ENDOSCOPIC RECONSTRUCTION OF COMPLETE POST-RADIATION ESOPHAGEAL AND NEOPHARYNGEAL OBLITERATION

ENDOSCOPIC RECONSTRUCTION OF COMPLETE POST-RADIATION ESOPHAGEAL AND NEOPHARYNGEAL OBLITERATION

Video Transcription

Video Summary

A 75-year-old man with complete dysphagia from a 6-cm fibrotic obstruction of the neopharynx and esophagus after laryngectomy and chemoradiation underwent endoscopic recanalization. Using a gastrostomy-assisted, rendezvous-style approach with gastropexy, endoscopes were passed from both the mouth and stomach to identify the obstruction. After saline and indigo carmine injection, a fibrotic septum was incised with an endoscopic knife, creating a new lumen without fluoroscopy. The patient was observed, advanced gradually, and at 6 months remained improved and able to swallow solids.

Asset Subtitle

G. Mavrogenis, K. Markoglou, D. Madianos, A. Mantidis, N. Samarentsis, G. Theoharis, P. Gkolfakis, K, Triantafyllou

Keywords

endoscopic recanalization

neopharyngeal obstruction

dysphagia

gastrostomy-assisted rendezvous

fibrotic septum incision