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Surgical Endoscopy

Published in:

01-01-2010 | Dynamic Manuscript

Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos)

Authors: Shou-jiang Tang, Shailender Singh, John M. Truelson

Published in: Surgical Endoscopy | Issue 1/2010

Abstract

Background

Pharyngo-esophageal stenosis (PES) and upper esophageal stricture are common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. In severe or complete stenosis, the patients generally have complete dysphagia with inability to swallow their saliva. Diagnostic and therapeutic esophagogastroduodenoscopy (EGD) plays an important role in investigating the dysphagia and in managing the underlying stenosis.

Methods and Results

We translate endoscopic retrograde cholangiopancreatography (ERCP) techniques and skills in approaching pancreaticobiliary obstruction in the management of severe and complete PES. We select and report three cases of severe or complete PES in which flexible endoscopic therapy was successfully provided by using fluoroscopy, ERCP wire guides, endoscopic balloons, and by performing pharyngo-esophageal puncture (PEP).

Conclusions

We propose the term PEP in managing complete PES. We believe this approach can offer safety and efficiency with very high success rate.

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Title: Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos)
Authors: Shou-jiang Tang
Shailender Singh
John M. Truelson
Publication date: 01-01-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-009-0535-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos)

Abstract

Background

Methods and Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods and Results

Conclusions

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