Esophageal introitus (with videos)

Tang, Shou‐jiang; Wu, Ruonan

doi:10.1016/j.gie.2014.09.065

Cited by 5 publications

(4 citation statements)

References 72 publications

(97 reference statements)

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“…Esophageal introital strictures are common in patients who receive radiotherapy for head and neck cancers [1,2]. Although antegrade endoscopy with ERCP wire guides can achieve stenosis cannulation in vast majority cases of introital stenosis, CARE PEP is required in patients with complete obstruction [2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

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Combined Antegrade and Retrograde Endoscopy (CARE) with Pharyngo-esophageal Puncture (PEP) for Complete Esophageal Introital Obstruction

Tang

Chatha

2014

Video Journal and Encyclopedia of GI Endoscopy

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Background: Esophageal introital stenosis is common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. Infrequently, complete obstruction develops within the esophageal introitus.Patient and methods: In this video manuscript, we present a case of complete introital obstruction in which flexible endoscopic therapy was successfully by performing combined antegrade and retrograde endoscopy (CARE) and pharyngo-esophageal puncture using guide wire (PEP-guide wire), in combination with balloon dilation.Results: Esophageal lumen patency was re-established with "CARE PEP-guide wire" method without complications.Conclusions: In patients with complete esophageal introital obstruction, CARE PEP based approach can potentially re-establish the esophageal introital patency.

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Section: Discussionmentioning

confidence: 99%

“…Although antegrade endoscopy with ERCP wire guides can achieve stenosis cannulation in vast majority cases of introital stenosis, CARE PEP is required in patients with complete obstruction [2][3][4][5][6][7][8][9][10]. Endoscopists can translate ERCP techniques in the management of severe and complete introital stenosis [3].…”

Section: Discussionmentioning

confidence: 99%

Combined Antegrade and Retrograde Endoscopy (CARE) with Pharyngo-esophageal Puncture (PEP) for Complete Esophageal Introital Obstruction

Tang

Chatha

2014

Video Journal and Encyclopedia of GI Endoscopy

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“…Zenker's diverticulum (ZD) is the posterior pulsion diverticulum below the esophageal introitus through or above the cricopharyngeal muscle, and it is associated with a prominent cricopharyngeal bar. 1,2 ZD can cause dysphagia, regurgitation of undigested food, cough, and aspiration of food particles. During endoscopy, ZD often creates difficulty in esophageal intubation.…”

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confidence: 99%

“…Flexible endoscopic treatment for ZD focuses on releasing the cricopharyngeal spasm by performing diverticulotomy on the septum. 2 The aim of any endoscopic intervention is to reduce the septum, relieve the cricopharyngeal spasm, and increase the Zenker's esophageal diameter.…”

mentioning

confidence: 99%