Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos)

Shou Jiang Tang, Shailender Singh, John M. Truelson

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Pharyngo-esophageal stenosis (PES) and upper esophageal stricture are common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. In severe or complete stenosis, the patients generally have complete dysphagia with inability to swallow their saliva. Diagnostic and therapeutic esophagogastroduodenoscopy (EGD) plays an important role in investigating the dysphagia and in managing the underlying stenosis. Methods and Results: We translate endoscopic retrograde cholangiopancreatography (ERCP) techniques and skills in approaching pancreaticobiliary obstruction in the management of severe and complete PES. We select and report three cases of severe or complete PES in which flexible endoscopic therapy was successfully provided by using fluoroscopy, ERCP wire guides, endoscopic balloons, and by performing pharyngo-esophageal puncture (PEP). Conclusions: We propose the term PEP in managing complete PES. We believe this approach can offer safety and efficiency with very high success rate.

Original languageEnglish (US)
Pages (from-to)210-214
Number of pages5
JournalSurgical endoscopy
Volume24
Issue number1
DOIs
StatePublished - Jan 2010

Fingerprint

Esophageal Stenosis
Punctures
Pathologic Constriction
Radiation
Endoscopic Retrograde Cholangiopancreatography
Deglutition Disorders
Hypopharyngeal Neoplasms
Digestive System Endoscopy
Laryngeal Neoplasms
Fluoroscopy
Deglutition
Saliva
Radiotherapy
Safety
Therapeutics

Keywords

  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Esophagogastroduodenoscopy
  • Esophagus
  • Pharyngo-esophageal puncture (PEP)
  • Radiation therapy
  • Stricture

ASJC Scopus subject areas

  • Surgery

Cite this

Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos). / Tang, Shou Jiang; Singh, Shailender; Truelson, John M.

In: Surgical endoscopy, Vol. 24, No. 1, 01.2010, p. 210-214.

Research output: Contribution to journalArticle

@article{6d5f15f8efe943a3a3989e418fd438b6,
title = "Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos)",
abstract = "Background: Pharyngo-esophageal stenosis (PES) and upper esophageal stricture are common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. In severe or complete stenosis, the patients generally have complete dysphagia with inability to swallow their saliva. Diagnostic and therapeutic esophagogastroduodenoscopy (EGD) plays an important role in investigating the dysphagia and in managing the underlying stenosis. Methods and Results: We translate endoscopic retrograde cholangiopancreatography (ERCP) techniques and skills in approaching pancreaticobiliary obstruction in the management of severe and complete PES. We select and report three cases of severe or complete PES in which flexible endoscopic therapy was successfully provided by using fluoroscopy, ERCP wire guides, endoscopic balloons, and by performing pharyngo-esophageal puncture (PEP). Conclusions: We propose the term PEP in managing complete PES. We believe this approach can offer safety and efficiency with very high success rate.",
keywords = "Endoscopic retrograde cholangiopancreatography (ERCP), Esophagogastroduodenoscopy, Esophagus, Pharyngo-esophageal puncture (PEP), Radiation therapy, Stricture",
author = "Tang, {Shou Jiang} and Shailender Singh and Truelson, {John M.}",
year = "2010",
month = "1",
doi = "10.1007/s00464-009-0535-y",
language = "English (US)",
volume = "24",
pages = "210--214",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Endotherapy for severe and complete pharyngo-esophageal post-radiation stenosis using wires, balloons and pharyngo-esophageal puncture (PEP) (with videos)

AU - Tang, Shou Jiang

AU - Singh, Shailender

AU - Truelson, John M.

PY - 2010/1

Y1 - 2010/1

N2 - Background: Pharyngo-esophageal stenosis (PES) and upper esophageal stricture are common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. In severe or complete stenosis, the patients generally have complete dysphagia with inability to swallow their saliva. Diagnostic and therapeutic esophagogastroduodenoscopy (EGD) plays an important role in investigating the dysphagia and in managing the underlying stenosis. Methods and Results: We translate endoscopic retrograde cholangiopancreatography (ERCP) techniques and skills in approaching pancreaticobiliary obstruction in the management of severe and complete PES. We select and report three cases of severe or complete PES in which flexible endoscopic therapy was successfully provided by using fluoroscopy, ERCP wire guides, endoscopic balloons, and by performing pharyngo-esophageal puncture (PEP). Conclusions: We propose the term PEP in managing complete PES. We believe this approach can offer safety and efficiency with very high success rate.

AB - Background: Pharyngo-esophageal stenosis (PES) and upper esophageal stricture are common in patients who receive radiation therapy for laryngeal and hypopharyngeal cancers. In severe or complete stenosis, the patients generally have complete dysphagia with inability to swallow their saliva. Diagnostic and therapeutic esophagogastroduodenoscopy (EGD) plays an important role in investigating the dysphagia and in managing the underlying stenosis. Methods and Results: We translate endoscopic retrograde cholangiopancreatography (ERCP) techniques and skills in approaching pancreaticobiliary obstruction in the management of severe and complete PES. We select and report three cases of severe or complete PES in which flexible endoscopic therapy was successfully provided by using fluoroscopy, ERCP wire guides, endoscopic balloons, and by performing pharyngo-esophageal puncture (PEP). Conclusions: We propose the term PEP in managing complete PES. We believe this approach can offer safety and efficiency with very high success rate.

KW - Endoscopic retrograde cholangiopancreatography (ERCP)

KW - Esophagogastroduodenoscopy

KW - Esophagus

KW - Pharyngo-esophageal puncture (PEP)

KW - Radiation therapy

KW - Stricture

UR - http://www.scopus.com/inward/record.url?scp=74149088094&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=74149088094&partnerID=8YFLogxK

U2 - 10.1007/s00464-009-0535-y

DO - 10.1007/s00464-009-0535-y

M3 - Article

C2 - 19517185

AN - SCOPUS:74149088094

VL - 24

SP - 210

EP - 214

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 1

ER -