Phlegmonous esophagitis treated by endoscopic drainage

Tonouchi, Akiko; Kuwabara, Shirou; Furukawa, Koichi; Matsuzawa, Natsumi; Kobayashi, Kazuo

doi:10.1007/s10388-016-0562-4

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…However, some studies have suggested the possibility and feasibility of endoscopic drainage in limited cases of phlegmonous esophagitis [3]. Endoscopic technology has advanced, permitting less invasive procedures without general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Intraluminal Drainage: An Alternative Treatment for Phlegmonous Esophagitis

Kim

Ahn

Kim

et al. 2019

Korean J Thorac Cardiovasc Surg

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Phlegmonous esophagitis must be treated aggressively; therefore, appropriate antibiotic therapy and drainage are critical. Although a conventional surgical approach has been used previously, internal drainage could be another treatment option in light of advances in endoscopic techniques. We report 2 cases in which patients suffering from phlegmonous esophagitis were successfully treated with endoscopic intraluminal drainage and antibiotics.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Intraluminal Drainage: An Alternative Treatment for Phlegmonous Esophagitis

Kim

Ahn

Kim

et al. 2019

Korean J Thorac Cardiovasc Surg

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“…Our findings suggest that MRI is effective in detecting apparent abscesses, even in patients with acute phlegmonous esophagitis. In contrast, two previous studies demonstrated that endoscopic ultrasonography (EUS) is useful for diagnosing abscesses in the esophageal wall[1,9]. However, EUS requires a well-trained physician and a dedicated endoscope, which are currently unavailable at our facility.…”

mentioning

confidence: 90%

The Usefulness of Magnetic Resonance Imaging in the Management of Acute Phlegmonous Esophagitis

Shimizu¹,

Adachi²,

Sai³

2023

Diagnostics

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Acute phlegmonous esophagitis is a rare life-threatening disease that often requires surgical intervention in case of complications, including esophageal abscess, perforation, or mediastinitis. We present a case of acute phlegmonous esophagitis, in which magnetic resonance imaging (MRI) proved useful in planning the treatment strategy. An 89-year-old woman was admitted to the emergency department with painful swallowing and respiratory distress. She was diagnosed with acute phlegmonous esophagitis and a hypopharyngeal abscess based on computed tomography (CT) findings. However, there was a discrepancy between the clinical course and CT findings. Given the improvement of the patient’s condition with conservative treatment with ampicillin/sulbactam, the CT findings suggested an apparent abscess due to increased esophageal wall thickness. However, MR diffusion-weighted images showed a slightly high-intensity signal, suggesting that the enlargement was due to edema rather than an abscess. The patient recovered successfully following conservative treatment. Thus, our findings demonstrate the utility of MRI in the treatment planning of acute phlegmonous esophagitis, especially in cases with unreliable contrast-enhanced CT findings. However, future studies are warranted to explore the utility of MRI in the management of such cases.

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“…2 Phlegmonous esophagitis is a rare disease and is sometimes fatal, as various complications such as perforation, mediastinitis, pleural inflammation, and empyema can occur. [3][4][5][6][7][8] Consequently, it is difficult to ensure optimal treatment of DNM complicated with phlegmonous esophagitis. Our patient underwent urgent cervical drainage, tracheostomy, and empiric antibiotic administration, but DNM and phlegmonous esophagitis continued to worsen.…”

Section: Commentmentioning

confidence: 99%

“…EGD revealed esophageal perforation, hole, or fistula in some cases. 2,[6][7][8] In 1 of these cases, a mucosal incision was performed using an endoscopic knife to accomplish perfect drainage of the intramural abscess. 4 Therefore, pus drainage intraluminally appears to be essential for curing phlegmonous esophagitis completely.…”

Section: Commentmentioning

confidence: 99%