Esophagealstricturesareoneofthemostcommoncauses of mechanical dysphagia. 1 Complete esophageal obstruction can occur in the setting of both benign and malignant pathology, including therapeutic radiation. Treatment is predicated on addressing the suspected pathology and performing esophageal dilation. The 3 most common types of dilators are (1) mechanical dilators, such as mercury- or tungsten-filled bougies (Maloney, Hurst), (2) wire-guided polyvinyl dilators (Savary-Gilliard, American), and (3) through- the-scope (TTS) balloon dilators. 2 Various endoscopic and surgical approaches, such as peroral endoscopic tunneling for restoration of the esophagus (POETRE), exist as therapy for complete esophageal obstruction. 3 We describe an alternative approach for esophageal recanalization: peroral guidewire endoscopic recanalization of the esophagus.
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