Endoscopic clipping of spontaneous esophageal rupture: Case reports of three patients

Otsuka, Koji; Murakami, Masahiko; Ariyoshi, Tomotake; Yamashita, Takeshi; Goto, Satoru; Watanabe, Makoto; Aoki, Takeshi

doi:10.1016/j.ijscr.2017.07.009

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Endoscopy has the advantages of high sensitivity (100%) and specificity (80%) [ 9 ]. Other treatment methods such as hemoclip and stent placement can also be performed [ 10 , 11 ]. However, endoscopy carries the risks of deteriorating the pneumomediastinum and enlarging the rupture, and the success rate of leakage sealing was still not satisfactory [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Operation in the Treatment of Boerhaave’s Syndrome

Han

Huang

Xiang

et al. 2018

BioMed Research International

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Purpose This study aims to discuss the appropriate treatment strategy for spontaneous esophageal rupture. Methods Clinical data from twenty-one cases were retrospectively analyzed. The parameters included etiology, time interval between onset and treatment, therapy methods, prognosis, and length of stay. Results The ratio of males/females was 17/4, age range was 32–82 years (mean = 43.1), and the time interval between onset and treatment was as follows: <24 h: nine cases (42.8%); 24–48 h: six cases (28.6%); and >72 h: six cases (28.6%). All patients underwent operative treatment, and the following primary healing rates were achieved: <24 h: 88.9%, 24–48 h: 66.7%, and >72 h: 0. No patients died in this study. All patients were discharged with recovery, and the average hospitalization times were 18.1 days (<24 h), 27.8 days (24–48 h), and 51.2 days (>72 h). Conclusions Surgical treatment remains an effective method for treating spontaneous esophageal rupture, and the shorter the time interval between onset and treatment, possibly the better the prognosis.

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Section: Discussionmentioning

confidence: 99%

The Role of Operation in the Treatment of Boerhaave’s Syndrome

Han

Huang

Xiang

et al. 2018

BioMed Research International

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“…Endoscopic clipping is a promising technique for early and small esophageal ruptures. 17 , 18 One limitation is that these clips do not allow for treatment of large defects and are not resistant enough to bring together distant, inflamed anastomotic edges. Thus, the efficacy of these techniques is limited by the defect size (generally <2 cm for endoscopic clips).…”

Section: Discussionmentioning

confidence: 99%

Two-tube method for treatment of spontaneous esophageal rupture and concomitant mediastinal infection

Liu

et al. 2018

J Int Med Res

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ObjectiveSpontaneous esophageal rupture (SER) is a rare but life-threatening condition with high mortality. The prognosis of patients with SER treated with surgical intervention or the traditional “three-tube” method is controversial. Thus, the aim of this study was to evaluate the clinical efficacy, feasibility, and safety of a new “two-tube” method involving a trans-fistula drainage tube and a three-lumen jejunal feeding tube for the treatment of SER without concomitant pleural rupture.MethodsFrom January 2007 to June 2016, patients with SER and managed with the “two-tube” method or other methods were retrospectively analyzed. Data collected included initial presentation, procedure time, duration of treatment, numbers of patients with eventual healing of leaks, and complications.ResultsThe average procedure time for the “two-tube” method was 22.1 ± 5.5 minutes. In comparison with the control method, the “two-tube” method had a similar diagnosis time (3.6 ± 1.4 vs. 3.4 ± 1.4 days) but a significantly higher successful closure rate (94.4% vs. 63.6%) and shorter treatment time (38.2 ± 5.6 vs. 53.6 ± 16.9 days). No complications associated with performance of the “two-tube” method occurred.ConclusionThe “two-tube” method is an effective and safe approach for patients with SER.

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