Use of a plastic endoprosthesis to successfully treat esophageal perforation following radiofrequency ablation of Barrett’s esophagus

Vahabzadeh, Babac; Rastogi, Amit; Bansal, Anil Kumar; Sharma, Preeti

doi:10.1055/s-0030-1256070

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…[161][162][163] Procedurerelated perforation has been reported. 165 Cryotherapy has not been as well studied to date. Small case series report common self-limited symptoms such as pain and dysphagia.…”

Section: Adverse Events Of Percutaneous Endoscopic Enteral Accessmentioning

confidence: 99%

Adverse events of upper GI endoscopy

Ben–Menachem¹,

Decker²,

Early³

et al. 2012

Gastrointestinal Endoscopy

316

170

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Section: Adverse Events Of Percutaneous Endoscopic Enteral Accessmentioning

confidence: 99%

Adverse events of upper GI endoscopy

Ben–Menachem¹,

Decker²,

Early³

et al. 2012

Gastrointestinal Endoscopy

316

170

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“…In addition, there is a growing use of temporary endoscopic esophageal stents to seal esophageal leakage and to recover gastrointestinal continuity [43-48]. Clinical experience with these treatments is based mostly on smaller series, but in selected patients this treatment seems promising.…”

Section: Introductionmentioning

confidence: 99%

“…Clinical experience with these treatments is based mostly on smaller series, but in selected patients this treatment seems promising. Use of endoscopic clips for perforation closure has been considered [49], and use of various stent types has been suggested [1,48,50-53]. Endoscopic vacuum sponge therapy has been introduced recently to aid successful drainage and healing of esophageal perforation or anastomotic insufficiency [54,55].…”

Section: Introductionmentioning

confidence: 99%

Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours

Søreide

Viste

2011

Scand J Trauma Resusc Emerg Med

209

183

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Esophageal perforation is a rare and potentially life-threatening condition. Early clinical suspicion and imaging is important for case management to achieve a good outcome. However, recent studies continue to report high morbidity and mortality greater than 20% from esophageal perforation. At least half of the perforations are iatrogenic, mostly related to endoscopic instrumentation used in the upper gastrointestinal tract, while about a third are spontaneous perforations. Surgical treatment remains an important option for many patients, but a non-operative approach, with or without use of an endoscopic stent or placement of internal or external drains, should be considered when the clinical situation allows for a less invasive approach. The rarity of this emergency makes it difficult for a physician to obtain extensive individual clinical experience; it is also challenging to obtain firm scientific evidence that informs patient management and clinical decision-making. Improved attention to non-specific symptoms and signs and early diagnosis based on imaging may translate into better outcomes for this group of patients, many of whom are elderly with significant comorbidity.

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“…В інформаційних джерелах(наукові публікації, данні інтернету) відомості, що об'єктивно висвітлюють стан тварин з перфорацією стравоходу та принципами їх лікування дуже скудні та не відображують дійсного стану питання. Серед запропонованих методів хірургічного лікування перфорації стравоходу немає даних щодо використання полімерної трубки під час оперативної реконструкції стінки стравоходу саме у тварин (Jubb, Kennedy, & Palmer's, 2007;Vahabzadeh, Rastogi, Bansal, & Sharma, 2011;Brinster et al, 2004). Це все дало підставу для проведення клінічних досліджень на тваринах з перфорацією стравоходу під час надання їм хірургічного лікування та у післяопераційний період у процесі регенерації.…”

Section: вступunclassified

Perforation of the oesophagus in animals and methods of their treatment (сlinical case)

Sarbash¹,

Sinyagovskay²,

Kantemir³

et al. 2021

VVTP

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The purpose of the work was to research the etiological factors of perforation of esophagus, the clinical condition of animals, and also to perform a technique for surgical intervention to restore the function of the esophagus. The technique of operative access and the imposition of strong, airtight sutures was developed to contribute to the restoration of the esophagus function. The investigation object was three goats with bitten lacerations complicated by perforation of the esophagus in the cranioventral part of the neck, a horse with perforation of the esophagus in the middle part of the neck. The operating field in animals with damage of esophagus was prepared taking into account mechanical and chemical antiseptics, and local infiltration anesthesia was performed. The necrotic edges of the wounds excised, the skin dissected by 12-15 cm, and the neck muscles moved and separated in relation to each other, fixed with wound hooks and provided access to the perforated section of the esophagus. On the detected defects of the esophagus a polymer tube inserted into the cavity of the esophageal tube through the wound openings in the cranial direction until it exited the oral cavity by 10-15 cm, and then along the esophagus, than shifted towards the stomach. Thus, we obtained such a configuration and clear contours of the esophagus, which would facilitate the possibility of controlling the layer-by-layer application of surgical sutures and closing the perforation of the esophageal walls. The first level of Schmiden sutures applied to the mucous and muscle layers. Subsequently, for reliability three intermittent knotted seams imposed on the same layers. The second floor of the sutures – intermittent knotty was placed on the muscles and the adventitious layer of the esophagus (polymer suture material No. 4-6). Thus, a hermetic closure of the perforated defects of the esophagus was achieved. The wound was treated with antibacterial drugs and, first, an interrupted knotted suture was placed on the muscles and then on the muscles and skin. The resin tube removed through the oral cavity. In the postoperative period the neck was restricted in movement by applying wooden corsets for 5-6 days. The wound was treated with antibacterial drugs for 7 days. Feeding was carried out with chopped food, watering in small doses for two weeks. Regeneration of the operating wounds took place without complications due to primary intention. In 6-8 weeks after surgery the clinical condition of the animals was within normal limits, the animals were fed normally.

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Use of a plastic endoprosthesis to successfully treat esophageal perforation following radiofrequency ablation of Barrett’s esophagus

Cited by 5 publications

References 12 publications

Adverse events of upper GI endoscopy

Adverse events of upper GI endoscopy

Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours

Perforation of the oesophagus in animals and methods of their treatment (сlinical case)

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