UGI Esophagus-COMBINED ANTEGRADE-RETROGRADE RECANALIZATION OF A COMPLETELY OBSTRUCTED ESOPHAGUS BY EUS GUIDED RENDEZVOUS TECHNIQUE

COMBINED ANTEGRADE-RETROGRADE RECANALIZATION OF A COMPLETELY OBSTRUCTED ESOPHAGUS BY EUS GUIDED RENDEZVOUS TECHNIQUE

Video Transcription

Video Summary

The video transcript features a case study of a 99-year-old man with significant cardiac disease who presents to the hospital for a dislodged PEC tube. GI service is consulted for endoscopic replacement of the tube. During the procedure, a completely obstructed esophagus is found. Attempts to recanalize the esophagus using a guide wire are unsuccessful. The stomach is filled with water for better visualization, and a 19-gauge FNA needle penetrates the GE junction to pass the guide wire. The guide wire is successfully inserted, and an axial stand is deployed within the stenosis. Contrast flows freely into the stomach, confirming patency of the GE junction. The patient is able to tolerate liquids and soft food for the first time in 8 years. The use of combined anti-grid, retro-grid endoscopic recanalization with EUS-guided rendezvous technique is deemed feasible and safer for therapy in completely obstructive esophagus cases. No credits were provided in the transcript.

Asset Subtitle

Honorable Mention

Keywords

cardiac disease

dislodged PEC tube

endoscopic replacement

obstructed esophagus

EUS-guided rendezvous technique