title: Treatment of a radiation-induced esophageal web with retrograde esophagoscopy and puncture.
abstract: OBJECTIVE
  To present a technique for the treatment of complete esophageal stenosis in the post-radiation patient that may be applied to selected patients with obstructing stenoses.
  
  
  METHODS
  A case report of the treatment of a post-radiation esophageal web.
  
  
  METHODS
  A review of the patient's history of treatment and a discussion of reported treatment options.
  
  
  RESULTS
  A complete obstruction of the cervical esophagus was diagnosed in a patient after chemoradiation for a hypopharyngeal carcinoma. Retrograde esophagoscopy through the patient's percutaneous endoscopic gastrostomy tube site aided visualization and perforation of the obstructing tissue. Subsequent dilation has allowed the patient to resume oral intake of a regular diet without restrictions.
  
  
  CONCLUSIONS
  Combined direct laryngoscopy with retrograde esophagoscopy represents a viable alternative to more extensive approaches for recannulization of selected obstructing esophageal stenoses.
authors.affiliation: Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, MS, USA.
authors.forename: Melanie
authors.initials: M
authors.lastname: Petro
authors.forename: Richard O
authors.initials: RO
authors.lastname: Wein
authors.forename: Anil
authors.initials: A
authors.lastname: Minocha
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D004106:Dilatation / Q000379:methods*; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D004945:Esophagoscopy; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000532:radiotherapy; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000150:complications*