UGI Esophagus-FINDING THE ESOPHAGUS

Video Transcription

Video Summary

In this video, a case is presented of a 77-year-old male with a history of laryngeal carcinoma. The patient underwent various treatments for his condition, including chemoradiation therapy and multiple esophageal dilations. However, he experienced complications such as esophageal stenosis and chronic aspiration which led to him being PEG-dependent. After a total laryngectomy with thigh flap reconstruction, an esophagram revealed obstruction at the upper esophagus. A gastroscopy was performed and a salivary bypass stent was found, which was unable to be traversed. The stent was removed, and a guide wire was passed through a severe stricture under fluoroscopic guidance. A lumen-opposing metal stent was then placed to recreate continuity in the esophagus. The patient tolerated the procedure well and was discharged. The video highlights the importance of guidance during esophageal dilations and the successful use of covered metal stents in restoring esophageal continuity.

Asset Subtitle

Honorable Mention

Keywords

laryngeal carcinoma

chemoradiation therapy

esophageal dilations

esophageal stenosis

chronic aspiration