Conservative management of esophageal perforation following obesity surgery

Ardengh, José Celso; Domene, Carlos Eduardo; Valiati, Loana Heuko; Morrell, Alexander Charles

doi:10.1590/s1516-31802006000600008

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Both cases were managed nonoperatively with drainage of mediastinal collections and parenteral nutrition. 12,13 In another single report of a distal esophageal perforation diagnosed 5 days after LRYGB, operation was required with mediastinal drainage and primary repair of the esophageal perforation and diverting cervical esophagostomy. 14 A small case series reported on the results of 2 patients who sustained esophageal leaks complicating reoperative bariatric surgery treated with removable covered esophageal stents.…”

Section: Discussionmentioning

confidence: 99%

Esophageal Perforation After Laparoscopic Sleeve Gastrectomy and Paraesophageal Hernia Repair Managed by Transhiatal Drainage

Philip

Kole

2019

International Surgery

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Laparoscopic sleeve gastrectomy (SG) was first established as a 2-stage procedure in high-risk patients undergoing gastric bypass or biliary pancreatic diversion with duodenal switch. It has since become increasingly used as a primary bariatric procedure. The 2 significant postoperative complications after this procedure are anastomotic staple line leakage or bleeding. True esophageal leaks after sleeve gastrectomy are extremely uncommon. We present a case of contained esophageal perforation after a laparoscopic sleeve gastrectomy and paraesophageal hernia repair managed successfully with laparoscopic-assisted transhiatal drainage. We review the literature on the management of this uncommon but highly morbid complication in patients undergoing bariatric surgery.

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Section: Discussionmentioning

confidence: 99%

Esophageal Perforation After Laparoscopic Sleeve Gastrectomy and Paraesophageal Hernia Repair Managed by Transhiatal Drainage

Philip

Kole

2019

International Surgery

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Esophageal perforation: a research review of the anti-infective treatment

Gregory

Hecht²

2018

Int J Clin Pharm

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Background Esophageal perforation is a complex disease state and often difficult to diagnose due to the variability in patient presentation. The chosen anti-infective treatment and duration of anti-infective therapy that patients with esophageal perforation receive has been inconsistent. Choice of anti-infective treatment and duration of therapy may also be highly variable from institution to institution, and can even vary by provider. To our knowledge, there has not been a publication reviewing esophageal perforation with a specific focus on pharmacologic management. Aim of the review The aim of this study is to summarize pertinent research articles focused on the anti-infective treatment of adult patients diagnosed with esophageal perforation. Method Pubmed electronic database was utilized to search for articles meeting pre-defined criteria. Articles were included in this review if they discussed at least 1 of the following 3 criteria: choice of anti-infective treatment regimen, duration of anti-infective therapy, or identification of organisms growing from cultures associated with the esophageal perforation. Results Seventy-seven articles included information related to our research question. No randomized-controlled trials were identified and only 7 identified articles reported all 3 criteria of interest. Conclusion Review of the literature from 1979 to 2017 reveals the need for high quality evidence related to anti-infective treatment in patients diagnosed with esophageal perforation.

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