Esophageal perforation during endoscopic removal of food impaction in eosinophilic esophagitis: stent well spent?

Rhijn, Bram D. van; Curvers, Wouter L.; Bergman, Jacques; Verheij, Joanne; Bredenoord, Albert J.

doi:10.1055/s-0034-1365150

Cited by 5 publications

(6 citation statements)

References 4 publications

(5 reference statements)

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“…However, apart from this problem, the PIED had completely healed. Contrary to van Rhijn et al, 7 we believe that the use of PSEMs is justified even in patients with EoE. We argue that the sealing effect is superior to that of a fully covered self-expandable metal stent.…”

Section: Discussioncontrasting

confidence: 81%

“…So far, van Rhijn et al 7 reported the only successful treatment of an EoE-induced PIED with a PSMES. Stent extraction 3 weeks later was complicated by tissue ingrowth, and a stent-in-stent technique was applied.…”

Section: Discussionmentioning

confidence: 99%

“…Stent extraction 3 weeks later was complicated by tissue ingrowth, and a stent-in-stent technique was applied. Therefore, van Rhijn et al 7 concluded that the use of PSEMS should be avoided in patients with EoE. They proposed that ''the inflamed mucosa is likely to react to a foreign body by the development of severe fibrosis with increased risk of mucosal tears and perforation.''…”

Section: Discussionmentioning

confidence: 99%

“…There are recent reports of IEDs in which eosinophilic esophagitis (EoE) could be identified as the underlying pathology, especially in younger men. 4,7 In this article we report a CIED with perforation treated successfully by endoscopic placement of a PSEMS in a young patient with EoE.…”

Section: Introductionmentioning

confidence: 95%

See 3 more Smart Citations

First Successful Treatment of a Circumferential Intramural Esophageal Dissection with Perforation in a Patient with Eosinophilic Esophagitis Using a Partially Covered Self-Expandable Metal Stent

FischerAndreas

HöppnerJens

Richter-SchragHans-Jürgen

2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Intramural esophageal dissection (IED) is a rare disease characterized by a partial (PIED) or circumferential (CIED) mucosal rupture. Whereas PIED responds well to nonoperative treatment, complicated courses have been reported necessitating surgery, up to the point of esophagectomy despite complex endoscopic interventions, in CIED. We report the first case of an iatrogenic CIED with perforation in a young patient with underlying eosinophilic esophagitis treated successfully by endoscopy alone, using a partially covered self-expandable metal stent.

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Section: Discussioncontrasting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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First Successful Treatment of a Circumferential Intramural Esophageal Dissection with Perforation in a Patient with Eosinophilic Esophagitis Using a Partially Covered Self-Expandable Metal Stent

FischerAndreas

HöppnerJens

Richter-SchragHans-Jürgen

2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…The reports of esophageal stent in term of technical and clinical success in treatment of iatrogenic perforation were 91% to 100% and 81% to 86% respectively. 46,47 When esophageal mucosa is friable, e.g., post-sclerosing agent injection, 48 or fragile, e.g., eosinophilic esophagitis, 49 stent placement has been reported to be more effective than endoscopic clipping. 48,49 When compared with esophagectomy, esophageal stenting caused lower mortality (13.8% vs 7.3%).…”

mentioning

confidence: 99%

Endoscopic closure of iatrogenic perforation

Angsuwatcharakon

Rerknimitr

2016

Int J Gastrointest Interv

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A B S T R A C TIatrogenic perforation of the gastrointestinal (GI) tract is one of the serious complications in GI endoscopy. With the advancement in technique of GI endoscopy especially therapeutic endoscopy, the risk of perforation has increased. Prompt detection is the only way to avoid delay treatment and poor outcome. Recently, there are new instruments and techniques developed that can be reliably applied for an endoscopic closure without the need for surgery. Therefore, endoscopists should be familiar with these instruments as the result of successful endoscopic closure has lower rate of morbidity than surgery. In this review, the techniques of endoscopic closure are described according to the organs of perforation. In addition, the general knowledge and management of perforation in other aspects including tension pneumothorax, abdominal compartment syndrome, or infection induced by contamination of GI content are explained.

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Esophageal perforation in eosinophilic esophagitis: A systematic review on clinical presentation, management and outcomes

Arias-González

Rey-Iborra

Ruiz-Ponce

et al. 2020

Digestive and Liver Disease

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Esophageal perforation during endoscopic removal of food impaction in eosinophilic esophagitis: stent well spent?

Abstract: This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Cited by 5 publications

References 4 publications

First Successful Treatment of a Circumferential Intramural Esophageal Dissection with Perforation in a Patient with Eosinophilic Esophagitis Using a Partially Covered Self-Expandable Metal Stent

First Successful Treatment of a Circumferential Intramural Esophageal Dissection with Perforation in a Patient with Eosinophilic Esophagitis Using a Partially Covered Self-Expandable Metal Stent

Endoscopic closure of iatrogenic perforation

Esophageal perforation in eosinophilic esophagitis: A systematic review on clinical presentation, management and outcomes

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