Endoscopic debridement of paraesophageal, mediastinal abscesses: a prospective case series

Treatment of Thoracic Esophageal Anastomotic Leaks and Esophageal Perforations with Endoluminal Stents: Efficacy and Current Limitations

“…Some investigators suggest aggressive surgical reexploration and repair or even disassembly of the anastomosis, whereas others recommend conservative treatment using total parenteral nutrition, perianastomotic drainage with chest drains, or computed tomography (CT)-guided percutaneous drainage of abscesses and broad spectrum antibiotics. 6,[9][10][11][12][13][14] However, surgical treatment is often associated with high morbidity and mortality, [1][2][3]11,15 and conservative treatment is only indicated in selected patients with asymptomatic and minimal anastomotic leaks. 15,16 In recent years, several reports of successful treatment of esophageal anastomotic leakages and perforations with endoscopically applied endoluminal stents have been published.…”

Endoscopic ultrasound: an overview of its role in current clinical practice

“…Similar techniques have been reported for the drainage of mediastinal 73 , hepatic 74 , splenic 75 , subphrenic 76 and pelvic 77 abscesses. EUS‐guided transmural cholecystenterostomy has been described in patients at high risk for surgical intervention 78 , 79 .…”

Endoscopic Treatment of Boerhaave Syndrome: A Case Report

“…In a prospective series, 8 patients with a paraesophageal abscesses (abscess >2 cm and sepsis) secondary to Boerhaave syndrome were treated using an endoscopic ultrasound-guided mediastinal puncture. [16] Debridement was successful in all cases, however, within 2 to 8 days, repeat drainage was required. Esophageal defects were closed using endoclips, fibrin adhesives, or metal stents.…”