Esophageal stents as a salvage therapy for non-malignant iatrogenic esophageal perforations.
Gastroenterol Clin Biol
; 29(6-7): 735-9, 2005.
Article
em En
| MEDLINE
| ID: mdl-16142010
ABSTRACT
BACKGROUND:
Esophageal non-malignant perforations are severe life-threatening conditions. The current treatment is either surgical or conservative.METHODS:
We report a case series of 3 consecutive patients (1 female, 2 male; 34-68 years) treated with expandable covered stents for non-malignant iatrogenic esophageal perforations. OBSERVATIONS In our series, 3 out of 3 patients sealed their perforations and resumed normal oral intake. Complications observed were 2 stent migrations, which occurred at 6 and 11 months after stent insertion, a stenosis due to acid reflux treated by another stent insertion above the first one. On the basis of the data available, it appears that esophageal stents was successful in 82% of the cases. The mortality and complication rates were of 7% and 32% respectively. The main complications observed were peptic stenosis above the stent and fistulas.CONCLUSION:
These results are promising but need to be confirmed in large-scale prospective studies. Mediastinal drainage remains mandatory when sepsis is present.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Perfuração Esofágica
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article