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

Meta Tag

Concept Radiation-Induced Esophageal Obstruction

Concept Endoscopic Recanalization

Concept Combined Antegrade-Retrograde Endoscopic Recanalization

Concept Gastropexy

Concept Laryngectomy

Keywords

endoscopic recanalization

neopharyngeal obstruction

dysphagia

gastrostomy-assisted rendezvous

fibrotic septum incision

Radiation-Induced Esophageal Obstruction

Endoscopic Recanalization

Combined Antegrade-Retrograde Endoscopic Recanalization

Gastropexy

Laryngectomy