Endoscopic dilation of complete oesophageal obstructions with a combined antegrade-retrograde rendezvous technique

Abstract

The CARD technique is safe and a viable alternative to high-risk blind antegrade dilation in patients with complete proximal oesophageal obstruction. Although only half of the patients remained PEG-tube independent, the majority improved their ability to swallow.

Relationship between oral intake, patient perceived swallowing impairment, and objective videofluoroscopic measures of swallowing in patients with head and neck cancer

“…It is completed and scored by a health‐care provider based on medical chart review, dietary journals, and/or patient report. Although the FOIS was validated for use within the stroke population, recent clinical trials have extended its use as a primary and secondary outcome measure to patients with head and neck cancer and in some trials it serves as a primary outcome of interest to index change in swallowing function …”

Esophagram findings in cervical esophageal stenosis: A case‐controlled quantitative analysis

“…In most patients with partial esophageal stenosis, standard antegrade dilation techniques are successful, with low rates of esophageal perforation. Complete esophageal stenosis presents additional treatment challenges but can successfully be treated with combined antegrade and retrograde endoscopic dilation . Francis et al investigated the effectiveness of serial dilations in leading to patient return to an oral diet and/or gastrostomy tube removal .…”

“…Complete esophageal stenosis presents additional treatment challenges but can successfully be treated with combined antegrade and retrograde endoscopic dilation. 23,24 Francis et al investigated the effectiveness of serial dilations in leading to patient return to an oral diet and/or gastrostomy tube removal. 18 In this study, return to oral diet and gastrostomy tube removal was achieved in 42% of patients, with return to oral diet occurring in 33% of patients and gastrostomy tube removal occurring in 50%.…”

Recurrent Complete Pharyngo-Oesophageal Stricture Treated by Multidisciplinary Anterograde-Retrograde Endoscopic Dilation

“…Since its introduction for the treatment of complete PES, rare case series and case reports of the anterograde-retrograde rendezvous technique have been reported [10, 11, 12, 13, 14, 15, 16]. Despite some technical variations among groups, the two main advantages of this type of intervention are the following: (1) simultaneous anterograde and retrograde endoscopic guidance (with the aid of transillumination and/or fluoroscopic assistance) diminishes complication risks like perforation and fistula, and (2) smaller mortality and morbidity rates [6] when compared with the surgical alternatives.…”