Percutaneous Endoscopic Gastrostomy as a Tool to Assist Pneumatic Dilation in a Difficult Case of Sigmoid Esophagus

@article{Michopoulos2006PercutaneousEG,
  title={Percutaneous Endoscopic Gastrostomy as a Tool to Assist Pneumatic Dilation in a Difficult Case of Sigmoid Esophagus},
  author={Spyros Michopoulos and Georgios Stamatis and Stephanos Karagiannis and Fotis Dimopoulos and Emmanouel Archavlis and Athanasios J. Archimandritis},
  journal={The American Journal of Gastroenterology},
  year={2006},
  volume={101},
  pages={902-905}
}
We describe a case of a long-standing, untreated achalasia with a huge sigmoid esophagus in a 58-year-old Caucasian man who declined surgery. All means of classical endoscopic approach for pneumatic dilation, including the use of an overtube, were impossible because any attempt to propel the balloon dilator made the guide wire pull back out of the stomach because of the large loops and the tortuosity of the esophagus. For this reason, we used, for the first time, a combined approach of… CONTINUE READING