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Novel Approach to Complete Luminal Stenosis Secondary to Leak and Stricturing After Esophagectomy and Substernal Gastric Pull up
Caleb G. Van Essen^*, Tommy H. Lee, Sumeet K. Mittal

Surgery, Creighton University School of Medicine, Omaha, NE

A complication of esophageal resection with gastric pull up is the development of anastomotic leaks with subsequent stricturing. This often requiring serial dilation and stent placement. We present a case in which a patient developed a complete luminal stenosis secondary to leak and stricturing after esophagectomy and substernal gastric pull up. After failed attempts to regain luminal patency using conventional techniques, a novel two-endoscope approach was used, via the esophagus and stomach, to traverse the impassable stricture. A second novel technique was used to secure a migrating stent by using an endoscopically guided transcutaneous U- stitch.

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