2026 Volume 68 Issue 5 Pages 1056-1061
An 85-year-old man was referred to our department for further evaluation and treatment of severe reflux esophagitis that showed little improvement despite hospitalization during previous medical treatment. Upper gastrointestinal endoscopy, contrast esophagography, and contrast-enhanced computed tomography revealed a complete esophageal obstruction. Surgical gastrostomy was performed for enteral nutrition. Subsequently, under intravenous sedation, endoscopic incision and dilation using the rendezvous technique were performed via the oral and gastrostomy routes. The obstruction was successfully recanalized. Postoperative balloon dilation sessions were performed, restoring oral intake. The patient’s clinical course was favorable, with no major complications. Endoscopic incision and dilation using the rendezvous technique via the oral and gastrostomy routes is a minimally invasive and effective treatment option for complete esophageal obstruction.
