Endoscopic negative pressure therapy with open-pore film drainage and open-pore polyurethane sponge drainage for iatrogenic perforation of the esophagus.
Endoscopy
; 52(5): 377-382, 2020 05.
Article
em En
| MEDLINE
| ID: mdl-32252093
ABSTRACT
BACKGROUND:
Management of iatrogenic esophageal perforation (IEP) is challenging. Endoscopic negative pressure therapy (ENPT) is an emerging and effective tool for the treatment of gastrointestinal and anastomotic leaks. We have used ENPT as first-line therapy for IEP since 2017.âThe aim of this study was to present our results with this strategy in patients with IEP.METHODS:
Nine patients were treated with ENPT for IEP between August 2017 and August 2019.âTheir treatment characteristics, including duration of therapy, strategy used, and outcomes, were analyzed. Treatment included ENPT with open-pore film drainage (OFD) and open-pore polyurethane foam drainage (OPD).RESULTS:
Early diagnosis (<â24 hours) of IEP occurred in four patients. After a mean (standard deviation) of 19.0 (13.5) days of ENPT, 6.4 (3.4) endoscopies, and 38.1 (40.3) days of hospitalization, endoscopic treatment was effective and successful in all of the patients. Additional video-assisted thoracic surgery (VATS) was done in four patients.CONCLUSIONS:
ENPT is an effective new method for the management of IEP. ENPT with OFD and OPD can be combined with minimally invasive operative methods for sepsis control in IEP.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Perfuração Esofágica
/
Tratamento de Ferimentos com Pressão Negativa
Tipo de estudo:
Etiology_studies
/
Screening_studies
Limite:
Humans
Idioma:
En
Revista:
Endoscopy
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Alemanha