What question did this study set out to answer?

This research aims to assess a novel technique for overcoming esophageal obstruction following chemoradiotherapy.

May 16, 2026Endoscopy0 citationsOpen Access

Retrograde–antegrade rendezvous recanalization for complete cervical esophageal obstruction after chemoradiotherapy: a novel organ-preserving approach

MKMitsuhiro Kono MOMasaki Ominami DKDaiki Kitagawa

Key Points

This research aims to assess a novel technique for overcoming esophageal obstruction following chemoradiotherapy.
Patient with cT3N1M0 esophageal cancer underwent CRT with cisplatin and fluorouracil.
Gastrostomy performed under CT guidance to provide nutritional support.
Endoscopic balloon dilation attempted for treatment of obstruction.
Complete remission was achieved after CRT, but oral intake remained impossible due to obstructive scarring.
Patient maintained minimal oral intake via gastrostomy during CRT.
Endoscopic efforts were unsuccessful due to complete obstruction.

Abstract

Retrograde-antegrade rendezvous recanalization for complete cervical esophageal obstruction after chemoradiotherapy: a novel organ-preserving approach A 60-year-old woman had cT3N1M0 clinical Stage IIIb cervical esophageal cancer ( Fig. 1), desired larynx preservation, and opted for chemoradiotherapy (CRT).Before CRT, the patient presented with dysphagia, and because of an esophageal cancer-induced stricture, even a thin scope could not be passed.Therefore, gastrostomy was performed under CT guidance , followed by CRT with cisplatin and fluorouracil at a radiation dose of 60 Gy (30 fractions).While receiving nutritional support via a gastrostomy tube, the patient maintained minimal oral intake.Although complete remission was achieved with CRT, the patient could not receive oral intake.An attempt was made to insert an endoscope for endoscopic balloon dilation (EBD), but the esophageal entrance was completely obstructed by CRT-induced scarring ( Fig. 2).

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