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Ann Thorac Surg 2006;81:1519-1521
© 2006 The Society of Thoracic Surgeons

How to do it

Simple and Useful Endoscopic Technique in the Re-Establishment of Esophageal Patency for the Treatment of a Completely Obstructed Esophagus

Cliff K. Choong, FRACS, Carlo Martinez, MD, Bryan F. Meyers, MD*

Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri

Accepted for publication February 7, 2005.

* Address correspondence to Dr Meyers, Washington University School of Medicine, Division of Cardiothoracic Surgery, Department of Surgery, St. Louis, MO 63110 (Email: meyersb{at}msnotes.wustl.edu).

Complete esophageal obstruction by benign or malignant diseases is an extremely morbid condition resulting in a very poor quality of life. Nutritional support through gastrostomy feeding or total parenteral nutrition is required to sustain life for such a patient. Re-establishment of esophageal patency allows for resumption of oral intake resulting in a marked improvement in the quality of life and avoids the complications associated with nutritional support through alternate routes. We describe a simple, safe, and effective endoscopic technique in the re-establishment of esophageal luminal patency.






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Copyright © 2006 by The Society of Thoracic Surgeons.