ArticleAnnals of gastroenterology
Safety and efficacy of combined antegrade and retrograde endoscopic dilation for complete esophageal obstruction: a systematic review and meta-analysis.
Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 17 citations in OpenAlex.
- Ultrathin Endoscope-Assisted Wire-Guided Dilation for Radiation-Induced Esophageal Obstruction: A Case Report.Cureus · 2026Article
- Dual Endoscopic Approach for Radiation-Induced Complete Esophageal Obstruction in the Upper Esophagus: Insights From 2 Challenging Cases.ACG case reports journal · 2026Article
- Endoscopic Recanalization of a Long Segment Esophageal Obstruction Using the Combined Antegrade and Retrograde Rendezvous Procedure.ACG case reports journal · 2025Article
- Combined Anterograde and Retrograde Endoscopic Management of Complete Esophageal Obstruction in Absence of Fluoroscopic Guidance.ACG case reports journal · 2025Article
- Successful treatment of corrosive esophageal atresia in a child using combined antegrade-retrograde dilation: a case report.Frontiers in pediatrics · 2025Article
- Association Between Subclinical Hypothyroidism and MASLD: A Systematic Review and Meta-Analysis.International journal of hepatology · 2025Review
- Combined antegrade and retrograde dilation (CARD) for management of complete esophageal obstruction: Multicenter case series.Endoscopy international open · 2024Article
- Robot-assisted oesophagectomy (Ivor-Lewis) for a complex stenosis previously managed by open gastrostomy tube placement.BMJ case reports · 2024Article
- Endoscopic Reconstruction of an Oral Feeding Route Using a Rendezvous Approach.GE Portuguese journal of gastroenterology · 2022Article
- Percutaneous endoscopic gastrostomy and jejunostomy: Indications and techniques.World journal of gastrointestinal endoscopy · 2022Review
- Forward-viewing EUS-guided esophageal repermeabilization.Endoscopy international open · 2022Article
- Opening New Ways through the Esophagus with Combined Anterograde-Retrograde Recanalization.GE Portuguese journal of gastroenterology · 2021Article
- Endoscopic recanalization of complete esophageal obstruction.Surgical endoscopy · 2021Article
- Review
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplete esophageal obstruction (CEO) due to occlusive proximal stricture occurs after chemoradiation for head and neck cancers. A combined antegrade and retrograde endoscopic technique with controlled recanalization and dilation (CARD) has been shown to be an effective and safe method for regaining and maintaining esophageal luminal patency in the short term.
methodsWe conducted a comprehensive search of multiple electronic databases and conference proceedings, including PubMed, EMBASE, and Web of Science databases (from inception through November 2018), to identify studies that reported the outcomes of CARD. The primary outcomes were the pooled rates of technical and clinical success, specifically improvement in dysphagia and independence from percutaneous endoscopic gastrostomy (PEG)-tube feeds. The secondary outcomes were the need for repeat dilations and the risks of complications, such as pneumomediastinum, perforation, and death.
resultsFrom a total of 19 studies (229 cases and 251 procedures) the calculated technical success rate was 88.9% (95% confidence interval [CI] 83.9-92.5,
conclusionsThe CARD procedure for CEO has a high technical success rate, but also a high rate of repeat dilations. Given its complexity and associated adverse events, this procedure should be restricted to centers with a high level of expertise.
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