A management algorithm for esophageal perforation

被引：56

作者：

Kiev, Jon ^{[1
]}

Amendola, Michael ^{[1
]}

Bouhaidar, Dournit ^{[1
]}

Sandhu, Bimaljit S. ^{[1
]}

Zhao, Xian ^{[1
]}

Maher, James ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Med Ctr, Div Cardiothorac Surg, Richmond, VA 23298 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2007年 / 194卷 / 01期

关键词：

esophageal perforation; esophageal stent; thoracic surgery; general surgery; gastroenterology;

D O I：

10.1016/j.amjsurg.2006.07.024

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Despite the prolonged morbidity caused by a major surgery and the high occurrence of continued leakage, primary repair has been the standard treatment for esophageal perforations. We believe that management using removable esophageal stents is both simpler and more effective. Over the past 3 years, we have treated 14 patients using esophageal stents, and the procedure was successful in all patients. Because of the shorter bed rest that follows endoscopic Polyflex stent (Rush, Inc; Teleflex Medical, Duluth, GA) placement, it is very likely that the care of patients with esophageal perforation will be changed over time. (c) 2007 Excerpta Medica Inc. All rights reserved.

引用

页码：103 / 106

页数：4

共 13 条

[1] The Hemoclip: A novel approach to endoscopic therapy for esophageal perforation
Blocksom, JM
Sugawa, C
Tokioka, S
Williams, M
[J]. DIGESTIVE DISEASES AND SCIENCES, 2004, 49 (7-8) : 1136 - 1138
[2] Esophageal perforation: Emphasis on management
Bufkin, BL
Miller, JI
Mansour, KA
[J]. ANNALS OF THORACIC SURGERY, 1996, 61 (05) : 1447 - 1451
[3] Distally migrated esophageal self-expanding metal stents: Wait and see or remove?
De Palma, GD
Iovino, P
Catanzano, C
[J]. GASTROINTESTINAL ENDOSCOPY, 2001, 53 (01) : 96 - 98
[4] Management of postoperative esophageal leaks with the polyflex self-expanding covered plastic stent
Langer, FB
Wenzl, E
Prager, G
Salat, A
Miholic, J
Mang, T
Zacherl, J
[J]. ANNALS OF THORACIC SURGERY, 2005, 79 (02) : 398 - 404
[5] Liedman B, 2001, EUR J SURG, V167, P672
[6] Malignant esophageal fistulas and perforations: Management with plastic-covered metallic endoprostheses
Morgan, RA
Ellul, JPM
Denton, ERE
Glynos, M
Mason, RC
Adam, A
[J]. RADIOLOGY, 1997, 204 (02) : 527 - 532
[7] Endoscopic treatment of clinically symptomatic leaks of thoracic esophageal anastomoses
Pross, M
Manger, T
Reinheckel, T
Mirow, L
Kunz, D
Lippert, H
[J]. GASTROINTESTINAL ENDOSCOPY, 2000, 51 (01) : 73 - 76
[8] Endoscopic clipping of anastomotic leakages in esophagogastric surgery
Rodella, L
Laterza, E
De Manzoni, G
Kind, R
Lombardo, F
Catalano, F
Ricci, F
Cordiano, C
[J]. ENDOSCOPY, 1998, 30 (05) : 453 - 456
[9] The efficacy of self-expanding metal stents for palliation of malignant esophageal strictures and fistulas
Sarper, A
Oz, N
Cihangir, C
Demircan, A
Isin, E
[J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2003, 23 (05) : 794 - 798
[10] SEGALIN A, 1995, SURG ENDOSC, V10, P929

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