scholarly journals Endoscopic Vacuum Therapy for Esophageal Perforation Treatment after Foreign Body Ingestion: Resolution after a Single Session

2019 ◽  
Vol 27 (3) ◽  
pp. 207-209
Author(s):  
Rui Morais ◽  
Filipe Vilas-Boas ◽  
Marco Silva ◽  
Pedro Pereira ◽  
Guilherme Macedo
Keyword(s):  
Foreign Body ◽  
Esophageal Perforation ◽  
Foreign Body Ingestion ◽  
Vacuum Therapy ◽  
Single Session ◽  
Endoscopic Vacuum Therapy

scholarly journals A case of esophageal perforation: Clinical and diagnostic management in emergency medicine

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Marco Di Serafino ◽  
Maurizio Martorano ◽  
Pamela Delmonaco ◽  
Chiara Gullotto ◽  
Andrea Baglioni ◽  
...  
Keyword(s):  
Foreign Body ◽  
Esophageal Perforation ◽  
Delayed Diagnosis ◽  
Penetrating Trauma ◽  
Foreign Body Ingestion ◽  
Delay In Diagnosis ◽  
Diagnostic Management ◽  
Esophagus Perforation ◽  
Boerhaave Syndrome ◽  
Diagnostic Work

Esophageal perforation is a welldefined and severe clinical condition. The associated mortality rates range between 5% and 40% and are worsened by delayed diagnosis. Rapid diagnosis and therapy provide the best chance for survival; however, a delay in diagnosis is common, resulting in substantial morbidity and mortality. There are several aetiologies of esophagus perforation. Most esophageal ruptures are secondary to medical instrumentation. Other causes are Boerhaave syndrome, toxic ingestions and radiation, foreign body ingestion, penetrating trauma, and, rarely, blunt chest trauma. We reported the clinical management and the diagnostic work-up case of esophagus perforation due to the foreign body ingestion.

scholarly journals Endoscopic vacuum therapy in the late diagnosed iatrogenic esophageal perforation: The convenience of using fluoroscopy

2019 ◽  
Vol 30 (7) ◽  
pp. 655-657
Author(s):  
Selcuk Disibeyaz ◽  
◽  
Erkin Oztas ◽  
Tuncer Temel ◽  
Nilgun Isiksalan Ozbulbul ◽  
...  
Keyword(s):  
Esophageal Perforation ◽  
Vacuum Therapy ◽  
Endoscopic Vacuum Therapy ◽  
Iatrogenic Esophageal Perforation

ACUTE ESOPHAGEAL PERFORATION: DOES ENDOSCOPIC VACUUM THERAPY ABANDON SURGERY ?

2020 ◽  
Author(s):  
P Stathopoulos ◽  
S Wächter ◽  
L Schiffmann ◽  
C Bauer ◽  
T Gress ◽  
...  
Keyword(s):  
Esophageal Perforation ◽  
Vacuum Therapy ◽  
Endoscopic Vacuum Therapy

scholarly journals Successful treatment of large cavity esophageal disruptions with transluminal washout and endoscopic vacuum therapy: a report of two cases

2019 ◽  
Vol 12 ◽  
pp. 263177451986030 ◽  
Author(s):  
Leonard T. Walsh ◽  
Justin Loloi ◽  
Carl E. Manzo ◽  
Abraham Mathew ◽  
Jennifer Maranki ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Esophageal Perforation ◽  
Anastomotic Dehiscence ◽  
Esophageal Wall ◽  
Vacuum Therapy ◽  
High Morbidity ◽  
Cross Sectional ◽  
Postoperative Leak ◽  
Endoscopic Vacuum Therapy ◽  
Tube Assembly

Acute, high-grade esophageal perforation and postoperative leak after esophagogastrostomy are associated with high morbidity and mortality due to the development of mediastinitis and thoracic contamination. Endoscopic vacuum therapy has proven to be a feasible, safe therapy for management of esophageal wall defects, but with limited success. We describe a retrospective single-center analysis of two patients who underwent endoscopic vacuum therapy for significant esophageal disruptions with a median cross-sectional diameter of 10.7 cm. The technique involved the use of a standard upper video endoscope, nasogastric tube, and vacuum-assisted closure dressing kit, with endoscopic placement of a polyurethane sponge and nasogastric tube assembly into the mediastinal or thoracic cavity. Serial washout and debridement were performed prior to each sponge insertion. Data were collected on indication, size of the cavities, time to intervention, number of procedures, time to resolution, outcomes, and adverse events. Two patients underwent therapy with a mean age of 69.5. The median size of the collections via longest cross-sectional diameter was 10.7 cm. The average number of endoscopic vacuum therapy performed was six and average duration of therapy was 49 days. Complete resolution was achieved in both patients. One patient died 6 weeks later due to severe sepsis from aspiration pneumonia. Endoscopic washout and debridement followed by endoscopic vacuum therapy can be effective for large, even multiple, thoracic and mediastinal contaminations following esophageal perforation and gastroesopagheal anastomotic dehiscence and leaks in appropriately selected patients.

scholarly journals Endoscopic vacuum therapy for acute esophageal perforation following pneumatic dilation

Endoscopy ◽  
2014 ◽  
Vol 46 (S 01) ◽  
pp. E485-E486 ◽  
Author(s):  
Holger Kronsbein ◽  
Markus Etzold ◽  
Martin Fein ◽  
Juergen Haverkock ◽  
Martin Steffen
Keyword(s):  
Esophageal Perforation ◽  
Pneumatic Dilation ◽  
Vacuum Therapy ◽  
Endoscopic Vacuum Therapy

scholarly journals Endoscopic vacuum therapy for a large esophageal perforation after bariatric stent placement

VideoGIE ◽  
2018 ◽  
Vol 3 (11) ◽  
pp. 346-348 ◽  
Author(s):  
Diogo Turiani Hourneaux de Moura ◽  
Vitor O. Brunaldi ◽  
Mauricio Minata ◽  
Daniel Riccioppo ◽  
Marco Aurelio Santo ◽  
...  
Keyword(s):  
Stent Placement ◽  
Esophageal Perforation ◽  
Vacuum Therapy ◽  
Endoscopic Vacuum Therapy

scholarly journals Management of esophageal perforation with fistula formation in an 80 year old woman with multiple co-morbidities

2021 ◽  
Vol 7 (5) ◽  
pp. 882
Author(s):  
Jalal Almarzooq ◽  
Ayman Alkhabbaz ◽  
Nabeel Abdulla
Keyword(s):  
Foreign Body ◽  
Conservative Management ◽  
Esophageal Perforation ◽  
Open Surgery ◽  
Surgical Intervention ◽  
Fish Bone ◽  
Foreign Body Ingestion ◽  
Fistula Formation

<p class="abstract">Esophageal perforation due to foreign body ingestion may lead to serious complications. Here we present a case of an 80 year old lady with multiple co-morbidities who presented with a proximal esophageal perforation with fistula formation following ingestion of a fish bone. Due to her age and co-morbidities the decision was made to manage her conservatively by IV antibiotics, NG tube feeds and observation. Follow up after 2 months showed resolution of the perforation and fistula, without the patient needing any surgical intervention. This case highlights conservative management of esophageal perforation with complications in patients with co-morbidities where open surgery is not favoured.</p>

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