# Endoscopic Recanalization of a Long Segment Esophageal Obstruction Using the Combined Antegrade and Retrograde Rendezvous Procedure

## TL;DR

A 44-year-old man with a long esophageal blockage was successfully treated with an endoscopic procedure, avoiding surgery.

## Contribution

Demonstrates the successful use of a combined endoscopic technique for long-segment esophageal obstruction.

## Key findings

- A 9 cm peptic stricture was successfully recanalized using the rendezvous technique.
- Serial dilations and stenting restored esophageal patency without surgery.
- The endoscopic approach proved safe and effective for high-risk patients.

## Abstract

The combined antegrade and retrograde endoscopic rendezvous technique effectively restores patency for esophageal short-segment obstructing strictures (<3 cm). However, long-segment strictures typically require complex surgery, with endoscopic management rarely reported. We report a 44-year-old man with a 9 cm esophageal obstruction due to peptic stricture who was at high risk of esophageal resection due to severe cardiac disease and prior abdominal surgeries. He underwent successful recanalization using a rendezvous technique. Serial dilations with subsequent esophageal stenting restored luminal patency. This case highlights the feasibility of an endoscopic approach as a safe and effective alternative to surgery in long-segment peptic strictures.