Endoscopic Intraluminal Drainage: An Alternative Treatment for Phlegmonous Esophagitis

Kim, Jong Won; Ahn, Hyo Yeong; Kim, Gwang Ha; Kim, Yeong‐Dae; Hoseok,; Cho, Jeong Su

doi:10.5090/kjtcs.2019.52.3.165

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…APE is primarily treated with antibiotics, and intraluminal drainage may be helpful. Recently, Kim et al [ 6 ] reported endoscopic mucosal dissection as a treatment for phlegmonous esophagitis, as it allows the pus of the submucosa to become intraluminal drainage. As presented in our first case, pus drainage by opening the esophageal mucosa in severe APE accompanied by neck infection helped alleviate the disease.…”

Section: Discussionmentioning

confidence: 99%

Treatment of phlegmonous esophagitis in various patients: a case series

Lee¹,

Lee²,

Jeon³

2023

JYMS

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Acute phlegmonous esophagitis (APE) is a rare and fatal disease. Phlegmonous infection involves the submucosal layer and muscularis propria but not the mucosal layer. Because surgery is not the first treatment option for this disease, an accurate diagnosis is crucial. Herein, we report three cases of APE with various clinical features. All patients were successfully treated with antibiotics and appropriate medical procedures.

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Section: Discussionmentioning

confidence: 99%

Treatment of phlegmonous esophagitis in various patients: a case series

Lee¹,

Lee²,

Jeon³

2023

JYMS

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“…The first case was approached with surgical treatment, but the esophageal abscess did not improve; so, the abscess was drained through endoscopic mucosal dissection, and it improved. Some studies have suggested the possibility and feasibility of endoscopic intraluminal drainage in limited cases of phlegmonous esophagitis although not a complication of esophageal perforation [ 18 ]. The patient’s disease extent was limited to the cervical esophageal region.…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body

Han,

Cha,

Kwak

et al. 2023

Medicina

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Cases of foreign body ingestion are encountered relatively often in clinical settings; however, serious complications are rare. In such cases, mediastinal abscess due to esophageal perforation can become a life-threatening complication. We encountered two cases of severe complications due to an esophageal fish bone foreign body. The first case was a 40-year-old male with an intramural esophageal abscess due to a fish bone after eating fish five days before visiting the hospital. The patient underwent surgical treatment, but the esophageal abscess did not improve; so, the abscess was drained through endoscopic mucosal dissection, and the abscess improved. In the second case, a 64-year-old male, who had eaten fish three days before visiting the hospital, had esophageal perforation by a fish bone, and abscess formation in the mediastinum and the lesser sac in the abdominal cavity were observed. Although surgical treatment was performed, the intra-abdominal abscess formation was not controlled; so, percutaneous drainage (PCD) was inserted, and the abscess improved. Both patients were discharged without any complications. Here, we report two cases that were improved through surgical treatments and additional treatments such as endoscopic dissection and PCD.

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“…Therefore, it has recently been spotlighted as an effective treatment for patients who cannot tolerate general anesthesia or who are concerned about complications after surgery. 3,5 However, extensive mucosal damage to the esophagus induced by endoscopic drainage can stimulate the overproduction of fibrous tissue, leading to complications such as esophageal stricture. 6 Esophageal stricture is an abnormal narrowing of the esophagus lumen and is a disease with a low prevalence of 1.1 per 10,000 person-years, but with significant adverse effects in affected patients.…”

Section: Discussionmentioning

confidence: 99%

Esophageal Stricture after Endoscopic Drainage of Esophageal Abscess as a Complication of Acute Phlegmonous Esophagitis: A Case Report

Kim

Ryu

Park

et al. 2022

Korean J Gastroenterol

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Esophageal abscess caused by acute phlegmonous esophagitis is rare but life-threatening. Rapid abscess drainage is an important part of the treatment, and endoscope-assisted intra-luminal abscess drainage is frequently performed. Although endoscopic drainage is less invasive than surgery, it has the potential to cause esophageal stricture as a complication. We present a rare case of esophageal stricture as a complication of intra-luminal drainage and evaluate a method to minimize the incidence of esophageal stricture complications.

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Endoscopic Intraluminal Drainage: An Alternative Treatment for Phlegmonous Esophagitis

Cited by 7 publications

References 5 publications

Treatment of phlegmonous esophagitis in various patients: a case series

Treatment of phlegmonous esophagitis in various patients: a case series

Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body

Esophageal Stricture after Endoscopic Drainage of Esophageal Abscess as a Complication of Acute Phlegmonous Esophagitis: A Case Report

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