Endoscopic therapies for acute esophageal perforations and leaks

Jay Yuan, Esha Baichoo, Louis M. Wong Kee Song

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Esophageal perforation is a serious condition with high morbidity and mortality. Management is optimized by prompt recognition and intervention in the context of a multidisciplinary approach. Specific treatment is dependent upon several factors, including clinical status, type and location of perforation, concomitant esophageal pathology, time delay to intervention, and available expertise. From a technical perspective, the principles of therapy include perforation closure, diversion, and drainage. Minimally invasive endoluminal therapy, including clips, stents, endoscopic suturing, and vacuum-assisted sponge therapy, represents a viable option in selected cases. Proper patient selection, technical proficiency, and recognition of the advantages and caveats of available devices are important determinants of successful endotherapy and clinical outcome.

Original languageEnglish (US)
Pages (from-to)53-61
Number of pages9
JournalTechniques in Gastrointestinal Endoscopy
Volume16
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Clips
  • Endoscopic suturing
  • Stents
  • Vacuum-assisted closure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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