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Endoscopic Recanalization of a Long Segment Esophageal Obstruction Using the Combined Antegrade and Retrograde Rendezvous Procedure

Year: 2025

Type: article

Abstract: The combined antegrade and retrograde endoscopic rendezvous technique effectively restores patency for esophageal short-segment obstructing strictures (<3 cm). However, long-segment strictures typically require complex surgery, with endoscopic management rarely reported. We report a 44-year-old man with a 9 cm esophageal obstruction due to peptic stricture who was at high risk of esophageal resection due to severe cardiac disease and prior abdominal surgeries. He underwent successful recanalization using a rendezvous technique. Serial dilations with subsequent esophageal stenting restored luminal patency. This case highlights the feasibility of an endoscopic approach as a safe and effective alternative to surgery in long-segment peptic strictures.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001754

Authors: Himsikhar Khataniar, Katherine Albus, Inanc S. Sarici, Sven E. Eriksson, Shahin Ayazi

Institutions: Allegheny Health Network, Western Pennsylvania Hospital, Drexel University

Language: English

Topic: Esophageal and GI Pathology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411981096

FWCI:

Cites: 24

Cited by:

Related to: 10