Both antegrade and retrograde endoscopic techniques to restore patency in an obstructed esophagus скачать в хорошем качестве

Both antegrade and retrograde endoscopic techniques to restore patency in an obstructed esophagus

Reference: https://www.videogie.org/article/S246... The procedure known as combined antegrade-retrograde endoscopic recanalization is a sophisticated technique employed to address a completely obstructed esophagus. This method integrates both antegrade and retrograde approaches, allowing for a comprehensive assessment and treatment of the obstruction. The antegrade approach involves the insertion of an endoscope through the mouth, enabling direct visualization and intervention at the site of the blockage. Conversely, the retrograde approach utilizes access through the stomach, providing an alternative pathway to navigate the obstruction. This dual approach is particularly beneficial in cases where the obstruction is severe or complex, as it enhances the likelihood of successful recanalization. During the procedure, the endoscopist employs various tools and techniques to facilitate the recanalization process. These may include balloon dilation, stenting, or the use of specialized instruments designed to break down or bypass the obstruction. The careful manipulation of these tools is crucial, as the esophagus is a delicate structure, and any misstep could lead to complications. The combination of antegrade and retrograde techniques allows for a more thorough exploration of the esophageal lumen, increasing the chances of identifying the precise nature of the obstruction and effectively addressing it. Post-procedure, patients are typically monitored for any signs of complications, such as perforation or infection, which can arise from endoscopic interventions. The success of combined antegrade-retrograde endoscopic recanalization is often evaluated through follow-up imaging and clinical assessments to ensure that the esophagus is functioning properly. This innovative approach not only alleviates symptoms associated with esophageal obstruction but also significantly improves the quality of life for patients suffering from this challenging condition. As advancements in endoscopic technology continue to evolve, the efficacy and safety of such procedures are expected to improve, offering hope for those affected by esophageal obstructions.