Successful endoscopic hemoclipping of an esophageal perforation

Sung, Hye Young; Kim, J. I.; Cheung, Dae Young; Cho, S. H.; Park, S.‐H.; Han, Ji-Won; Han, Serdar; Choi, Kyung-Chul; Chung, In‐Sik

doi:10.1111/j.1442-2050.2007.00702.x

Cited by 12 publications

(6 citation statements)

References 14 publications

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“…Under such circumstances, the length of hospital stay increases. Some surgeons now prefer to use nonsurgical procedures 36,37 . The principles of treatment entail the endoscopic approach: the insertion of covered self‐expandable stents, the use of clips, and the injection of fibrin glue.…”

Section: Discussionmentioning

confidence: 99%

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Current management of esophageal perforation: 20 years experience

Eroğlu

Türkyılmaz

Aydın

et al. 2009

Diseases of the Esophagus

134

100

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Esophageal perforations are surgical emergencies associated with high morbidity and mortality rates. No single strategy has been sufficient to deal with the majority of situations. We aim to postulate a therapeutic algorithm for this complication based on 20 years of experience and also on data from published literature. We performed a retrospective clinical review of 44 patients treated for esophageal perforation at our hospital between January 1989 and May 2008. We reviewed the characteristics of these patients, including age, gender, accompanying diseases, etiology of perforation, diagnosis, location, time interval between perforation and diagnosis, treatment of the perforation, morbidity, hospital mortality, and duration of hospitalization. Perforation occurred in the cervical esophagus in 14 patients (31.8%), thoracic esophagus in 18 patients (40.9%), and abdominal esophagus in 12 patients (27.3%). Management of the esophageal perforation included primary closure in 23 patients (52.3%), resection in 7 patients (15.9%), and nonsurgical therapy in 14 patients (31.8%). In the surgically treated group, the mortality rate was 3 of 30 patients (10%), and 2 of 14 patients (14.3%) in the conservatively managed group. Four of the 14 nonsurgical patients were inserted with covered self-expandable stents. The specific treatment of an esophageal perforation should be selected according to each individual patient. To date, the most effective treatment would appear to be operative management. With improvements in endoscopic procedures, the morbidity and mortality rates of esophageal perforations are significantly decreased. We suggest that minimally invasive techniques for the repair of esophageal perforations will be very important in the future treatment of this condition.

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Section: Discussionmentioning

confidence: 99%

“…Some surgeons now prefer to use nonsurgical procedures. 36,37 The principles of treatment entail the endoscopic approach: the insertion of covered self-expandable stents, the use of clips, and the injection of fibrin glue. Endoscopic repair using the hemoclip device seems to be safe and effective.…”

Section: Discussionmentioning

confidence: 99%

Current management of esophageal perforation: 20 years experience

Eroğlu

Türkyılmaz

Aydın

et al. 2009

Diseases of the Esophagus

134

100

View full text Add to dashboard Cite

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“…Factors such as perforation area, degree of contamination, time after perforation and presence of comorbidity have prognostic values in these patients whose morbidity and mortality is high. [5] Symptoms may be atypical in terms of the localisation of the oesophagus perforation, or they may imitate other diseases (including myocardial infarction, spontaneous pneumothorax or aortic dissection); furthermore, there may be a delay in diagnosis. [6] It has been shown that misdiagnosis or delayed diagnosis rate may be >50%.…”

Section: Discussionmentioning

confidence: 99%

An unusual approach for the treatment of oesophageal perforation: Laparoscopic-endoscopic cooperative surgery

et al. 2017

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Boerhaave syndrome describes a transmural oesophageal rupture that develops following a spontaneous, sudden intraluminal pressure increase (i.e. vomiting, cough). It has a high rate of mortality and morbidity because of its proximity to the mediastinum and pleura. Perforation localisation and treatment initiation time affect the morbidity and mortality. In this article, we aim to present our successful laparoscopic-endoscopic cooperative surgery in a 59-year-old female who was referred to our clinic with a diagnosis of spontaneous lower oesophageal perforation. Laparoscopy and a simultaneous oesophageal stent application may be assumed as an effective alternative to conventional surgical approaches in cases of spontaneous lower oesophageal perforation.

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“…Böylece hastane yatış süre-si ve morbidite artar. Bu dezavantajlar nedeniyle son zamanlarda özofagial perforasyonlarda cerrahisiz tedaviye yönelen otörler olmuştur (73)(74)(75)(76)(77)(78)(79). Tedavi prensiplerinde fibrin glue enjeksiyonu, klips kullanı-mı ve kendiliğinden genişleyebilen kaplı stentler gibi endoskopik işlemlere doğru meyil olmaya başlamıştır.…”

Section: Minimal İnvaziv Tekniklerunclassified