Complete endoscopic management of tubular esophageal duplication in a young woman

Abstract

A 29-year-old woman was referred to our department for endoscopic dilation of upper esophageal stricture. Dilation was performed with Savary-Gilliard dilators allowing the passage with resistance of a standard flexible video gastroscope Fujinon, Willich, Germany). Esophagogastroduodenoscopy showed a double esophageal lumen at 18 cm from the incisors. A thick bridge of intact mucosa separated the two lumens (• " Fig. 1). The passage of the endoscope through the second lumen was not possible. At 32 cm, a distal defect was also found. A barium esophagogram and high-resolution computed tomography (CT) scan confirmed esophageal tubular duplication (• " Fig. 2 and• " Fig. 3). Under general anesthesia, the standard video gastroscope was pushed down to the proximal opening of the duplication. After an easy passage of a 0.035-inch guide wire (Boston Scientific, Natick, MA, USA) in the duplicated lumen, a lengthwise incision of the intraluminal bridge was performed by using a 5.5-Fr needleknife (microKnife XL; Boston Scientific). The incision was performed step by step, from the upper to the distal end (• " Fig.

Two-Stage Treatment of Newborn With Gastrashisis

“…В отечественной литературе нами не обнаружено сообщений о торакоскопическом лечении детей с удвоением пищевода. В зарубежной литературе таких сообщений не много, и все авторы отмечают, что торакоскопическое удаление удвоенного пищевода считается предпочтительным методом хирургического лечения [8,[12][13][14]. Торакоскопия имеет абсолютные преимущества перед открытыми операциями: позволяет получить оптимальную визуализацию и широкий доступ к удвоенному пищеводу, безопасно выполнить удаление пищевода, имеет хороший косметический результат.…”

Endoscopic management of a tubular esophageal duplication in a young adult

“…1 Endoscopic fenestration is a viable treatment, especially for symptomatic cysts. [5][6][7] In accordance with the few case reports available in the literature, 3,8 we offered completely endoscopic management of the symptomatic tubular duplication with a long septotomy. Often, the separation of the tubular duplication and esophageal lumen is via a thickened, fibrous septum.…”

“…Tubular esophageal duplications are rare congenital disorders, sometimes associated with esophageal stenosis 3 or bronchoesophageal fistula. 4 Duplication cysts are more common, and surgery is the recommended treatment owing to a certain risk of cyst infection, bleeding, erosion, and perforation and the small risk of malignant degeneration.…”