Treatment of esophageal perforation with a covered expandable metal stent

Bethge, N; Kleist, Detlev von; Vakil, Nimish

doi:10.1016/s0016-5107(06)80123-9

Cited by 31 publications

(12 citation statements)

References 6 publications

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“…Plastic stents are mainly used for the treatment of leaks and strictures of benign disease because of their ability to be removed easier with less damage to the esophageal wall [8]. In recent years, metallic stents also have been used for short-term treatment of benign diseases and as a result, the appropriate type of stent for an esophageal leak remains controversial [4,18].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic therapy for esophageal perforation or anastomotic leak with a self-expandable metallic stent

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Endoscopic therapy for esophageal perforation or anastomotic leak with a self-expandable metallic stent

et al. 2009

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“…Treatment depends on the aetiology, site, and size of perforation; the time elapsed between perforation and diagnosis; underlying esophageal disease; and the overall health status of the patient [8-15]. Small perforations tend to seal without sequelae [1].…”

Section: Discussionmentioning

confidence: 99%

Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literature

Tsalis

Blouhos

Kapetanos

et al. 2009

Cases J

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Esophageal perforation is a serious condition with a high mortality rate. Successful therapy depends on the size of the rupture; the time elapsed between rupture and diagnosis, and the underlying health of the patient. Common causes of esophageal perforation include medical instrumentation, foreign-body ingestion, and trauma. A case of esophageal perforation due to fish bone ingestion in a 67-year-old male is described here, with a review of the pertinent literature. The patient presented with chest pain, fever and right-sided pleural effusion. Initial evaluation was nondiagnostic. The water-soluble contrast swallow test showed no evidence of leakage. Computed tomography scan demonstrated a pneumomediastinum, and right-sided hydropneumothorax. The patient was successfully treated using conservative measures.

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“…Despite the concern for acute complications and the absence of significant documentation of long-term sequelae associated with expandable metallic stents, there are reports of their application in patients with benign disease [3,5,11,20,28]. Many of these reports give only minimal indication of long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Many of these reports give only minimal indication of long-term outcomes. Others involve metallic stents in patients with benign strictures and perforation, but inoperable cancer elsewhere [3]. A literature review by Hramiec et al [11] in 1998 found 21 reported cases of stents used in patients with benign disease.…”

Section: Discussionmentioning

confidence: 99%