title: Endoscopic and Abdominal Management of Complete Benign Esophageal Obstruction.
abstract: Benign esophageal strictures leading to complete esophageal occlusion are well known. In the pre-endoscopic era, such cases required surgery, but over the last decade, various novel endoscopic techniques have been developed to prevent morbidity and mortality. A 37-year-old man presented after 1 year of dysphagia and weight loss, and was found to have complete esophageal obstruction, not allowing even passage of guidewire. We used a combination antegrade endoscopic abdominal procedures to deploy a stent, obviating the need for surgery. His symptoms improved dramatically, and the stent was successfully removed 12 weeks later. He is now swallowing normally and has gained significant weight.
authors.affiliation: Department of Gastroenterology, King Saud Bin Abdulaziz University-Health Science, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Abed
authors.initials: A
authors.lastname: Al-Lehibi