@article{3099108,
    title = "Percutaneous endoscopic gastrostomy as a tool to assist pneumatic
dilation in a difficult case of sigmoid esophagus",
    author = "Michopoulos, S and Stamatis, G and Karagiannis, S and Dimopoulos, F and and Archavlis, E and Archimandritis, AJ",
    journal = "The American Journal of Gastroenterology",
    year = "2006",
    volume = "101",
    number = "4",
    pages = "902-905",
    publisher = "Nature Publishing Group",
    issn = "0002-9270",
    doi = "10.1111/j.1572-0241.2006.00386.x",
    abstract = "We describe a case of a long-standing, untreated achalasia with a huge
sigmoid esophagus in a 58-year-old Caucasian man who declined surgery.
All means of classical endoscopic approach for pneumatic dilation,
including the use of an overtube, were impossible because any attempt to
propel the balloon dilator made the guide wire pull back out of the
stomach because of the large loops and the tortuosity of the esophagus.
For this reason, we used, for the first time, a combined approach of
percutaneous gastrostomy and endoscopy in order to fix the guide wire at
two points, achieving a pneumatic dilation in this way. A few months
later, a significant improvement in the symptoms and nutritional status
of the patient were observed."
}