Endoscopic dilation of complete oesophageal obstructions with a combined antegrade-retrograde rendezvous technique

Figure 1 Fluoroscopy. Gastroscope in the stomach, inserted through the existing gastrostomy and used for retrograde puncture.

Figure 2 View from the antegrade site. Complete obstruction in the proximal oesophagus.

Figure 3 Rendezvous. Retrograde view, transillumination from the proximal site before puncture of the complete obstruction with a VisiGlide guidewire (Olympus, Tokyo, Japan). Inlet: Fluoroscopy showing the antegrade laryngoscope and the retrograde gastroscope opposite each other.

Figure 4 Balloon dilation of the punctured obstruction. A Hercules balloon, 6 mm, was used.