Novel Use of AXIOS Stent for Concurrent Management of Achalasia and Esophageal Varices in a Cirrhotic Patient

Author:

Tawfik Mark1,Chain Stephanie2,Elfiky Ahmed3,Abureesh Mohammad3,Gurala Dhineshreddy3,Andrawes Sherif3,El Douaihy Youssef3

Affiliation:

1. Department of Internal Medicine, Staten Island University Hospital—Northwell Health, Staten Island, NY

2. City University of New York School of Medicine, New York, NY

3. Department of Gastroenterology and Hepatology, Staten Island University Hospital—Northwell Health, Staten Island, NY

Abstract

ABSTRACT AXIOS stents create an anastomotic connection between 2 lumens, facilitating bypass of blockages and strictures as well as drainage of large fluid collections. Historically, AXIOS stents have primarily been used for draining pancreatic fluid collections, with no documented cases of their use within the esophagus until now. In this article, we present a case of a 65-year-old man with cirrhosis admitted for dysphagia. On evaluation, he was diagnosed with type 1 achalasia and concurrent esophageal varices. A novel approach was used, utilizing an AXIOS stent, to provide both symptomatic relief and targeted treatment for his varices.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference10 articles.

1. Pathogenesis of achalasia cardia;Ghoshal;World J Gastroenterol,2012

2. Diagnosis and management of achalasia;Vaezi;Am J Gastroenterol,2013

3. ASGE guideline on the management of achalasia;Khashab;Gastrointest Endosc,2020

4. Endoscopic ultrasound-guided placement of AXIOS stent for drainage of pancreatic fluid collections;Patil;Ann Gastroenterol,2016

5. Achalasia: A systematic review;Pandolfino;JAMA,2015

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