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Endoscopic Recanalization of a Long Segment Esophageal Obstruction Using the Combined Antegrade and Retrograde Rendezvous Procedure
Journal article   Open access   Peer reviewed

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

Himsikhar Khataniar, Katherine Albus, Inanc S. Sarici, Sven E. Eriksson and Shahin Ayazi
ACG case reports journal, v 12(7), e01754
03 Jul 2025
PMID: 40612797
url
https://doi.org/10.14309/crj.0000000000001754View
Published, Version of Record (VoR) Open

Abstract

Case Report Esophagus
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.

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Collaboration types
Domestic collaboration
Web of Science research areas
Gastroenterology & Hepatology
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