Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Surg Proced. Mar 28, 2017; 7(1): 1-5
Published online Mar 28, 2017. doi: 10.5412/wjsp.v7.i1.1
Surgical treatment of a rare complication after endoscopic stent placement for anastomotic leakage after esophageal resection
Marjan Klinkert, Mechteld C de Jong, Meindert N Sosef, Annick B van Nunen, Henricus J Belgers
Marjan Klinkert, Mechteld C de Jong, Meindert N Sosef, Henricus J Belgers, Department of Surgery, Zuyderland Medical Centre, 6419 PC Heerlen, The Netherlands
Annick B van Nunen, Department of Gastroenterology, Zuyderland Medical Centre, 6419 PC Heerlen, The Netherlands
Author contributions: Klinkert M and de Jong MC designed and wrote the paper; Sosef MN, van Nunen AB and Belgers HJ designed- and performed the procedure.
Institutional review board statement: This case report was reviewed by our local IRB and according to local guidelines no official review was necessary.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: None of the above participants declare to have conflict-of-interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Marjan Klinkert, MD, Department of Surgery, Zuyderland Medical Centre, Henri Dunantstraat 5, 6419 PC Heerlen, The Netherlands.
Telephone: +31-455-766666 Fax: +31-455-767625
Received: February 3, 2017
Peer-review started: February 7, 2017
First decision: March 7, 2017
Revised: March 15, 2017
Accepted: March 20, 2017
Article in press: March 21, 2017
Published online: March 28, 2017
Core Tip

Core tip: A rare but severe complication of chemo-radiation of the esophagus, in case of esophageal cancer, is a complete esophageal obstruction. Blind anterograde wire access and dilatation leads to a higher risk of perforation, due to lack of visualization and a disrupted anatomy. For this reason the rendezvous technique was introduced, which involves an anterograde approach in combination with a retrograde approach in order to open and dilatate the esophagus.