Other-RECANALIZATION OF COMPLETELY OBSTRUCTED GASTROINTESTINAL LUMENS WITH AN ENDOSCOPIC RENDEZVOUS TECHNIQUE

RECANALIZATION OF COMPLETELY OBSTRUCTED GASTROINTESTINAL LUMENS WITH AN ENDOSCOPIC RENDEZVOUS TECHNIQUE

Video Transcription

Video Summary

In this video, the authors discuss two cases where completely obstructed gastrointestinal lumens were recanalized using an endoscopic rendezvous technique. In the first case, a 73-year-old man with squamous cell carcinoma developed dysphagia and underwent a procedure to dilate his esophagus. However, his condition worsened and he was unable to tolerate secretions. Using transillumination and fluoroscopy, the clinicians created a tract through the septum and placed a metal stent to maintain patency. In the second case, a 30-year-old man with ulcerative colitis presented with tenesmus and a complete occlusion of his pouch anal anastomosis. Similar techniques were used to create a communication between the pouch and anus and place a metal stent. The authors conclude that endoscopic recanalization can be effective for completely obstructed gastrointestinal lumens with thin septa.

Asset Subtitle

Honorable Mention

Keywords

endoscopic rendezvous technique

obstructed gastrointestinal lumens

esophageal dilation

metal stent placement

ulcerative colitis