scholarly journals ESOPHAGEAL PERFORATION AND CAUSTIC INJURY: Management of perforated esophageal cancer

1997 ◽  
Vol 10 (2) ◽  
pp. 90-94 ◽  
Author(s):  
M. K. Ferguson
1997 ◽  
Vol 10 (2) ◽  
pp. 95-100 ◽  
Author(s):  
B. Andreoni ◽  
M. L. Farina ◽  
R. Biffi ◽  
C. Crosta

1996 ◽  
Vol 29 (12) ◽  
pp. 2279-2283 ◽  
Author(s):  
Osamu Chino ◽  
Hiroyasu Makuuchi ◽  
Kyouichi Mizutani ◽  
Takao Machimura ◽  
Hideo Shimada ◽  
...  

2017 ◽  
Vol 10 (4) ◽  
pp. 407-410 ◽  
Author(s):  
Katsuhiko Murakawa ◽  
Koichi Ono ◽  
Yoshiyuki Yamamura ◽  
Hiroki Niwa ◽  
Hiroyuki Yamamoto ◽  
...  

2008 ◽  
Vol 74 (12) ◽  
pp. 1215-1217
Author(s):  
Jonathan M. Hernandez ◽  
James S. Barthel ◽  
Scott T. Kelley

Iatrogenic esophageal perforation during endoscopy in the setting of malignancy is an uncommon but often devastating complication and presents a formidable challenge to the surgeon. We sought to determine the efficacy of a self-expanding plastic stent for esophageal perforation before neoadjuvant chemoradiation in a single patient. A 74-year-old woman with a T4N0 adenocarcinoma at the gastroesophageal junction was perforated during upper endoscopy. We elected to manage the perforation with a silicone-covered, self-expanding Polyflex® stent. Subsequent studies revealed good positioning of the stent with exclusion of the perforation from the esophageal lumen. The patient subsequently underwent neoadjuvant chemoradiation therapy with cisplatin, 5-flourouracil, and external beam radiation (2640 Gy) followed by minimally invasive, hand-assisted transhiatal esophagogastrectomy. We describe the first case of endoscopic stenting for locally advanced, perforated esophageal cancer for the purposes of administering neoadjuvant chemoradiation as a bridge to definitive surgery. This patient was able to resume oral nutrition after stenting and during neoadjuvant therapy, experiencing no major complications from chemoradiation. Chemoradiation does not necessarily preclude the use of endoscopically placed covered plastic esophageal stents as a bridge to resection, even in the face of iatrogenic perforation.


2016 ◽  
Vol 175 (3) ◽  
pp. 64-67
Author(s):  
E. A. Drobyazgin ◽  
Yu. V. Chikinev ◽  
M. S. Anikina

The article presents an experience of diagnostics and treatment in 21 patients with esophageal perforation at the period from 1995 to 2015. The perforation was often (13 patients) the complication of interventional surgery which was directed to reconstruction of esophagus passing (scarry stricture of the esophagus, esophageal cancer, achalasia of esophagus). There was noted an esophageal rupture of lower third part of esophagus in 14 cases. These complications were diagnosed in all cases and the patients underwent an operation. There was performed the opening and drainage of the mediastinum in order to prevent mediastinitis. Complications had one patient in postoperative period. There wasn’t observed lethal outcome.


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