Knife-assisted incision for restoring esophageal lumen after surgical exclusion

Abstract Text A 41-year-old male developed an esophageal perforation after pneumatic dilatation for achalasia, requiring surgical repair of the laceration and esophageal exclusion with proximal staple line division. At four months follow-up he suffered severe dysphagia.

Endoscopy revealed no spontaneous recanalization at the site of exclusion. Dilatation with Savary bougies was performed followed by incision of fibrotic tissue and removal of protruding sutures, successfully restoring patency. At the 3-month follow-up, he reported being symptom-free from dysphagia.

To the best of our knowledge, this is the first case of endoscopic recanalization after surgical esophageal exclusion.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/4acebf45-a84e-4fd6-826e-8985ed3dce6c/Uploads/13821_exclusion_ESGE.mp4

Publication History

Article published online:
15 April 2024