Endoscopic therapies for acute esophageal perforations and leaks

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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 2014

Fingerprint

Esophageal Perforation
Porifera
Therapeutics
Vacuum
Surgical Instruments
Patient Selection
Stents
Drainage
Pathology
Morbidity
Equipment and Supplies
Mortality

Keywords

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

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Endoscopic therapies for acute esophageal perforations and leaks. / Yuan, Jay; Baichoo, Esha; Wong Kee Song, Louis M.

In: Techniques in Gastrointestinal Endoscopy, Vol. 16, No. 1, 01.2014, p. 53-61.

Research output: Contribution to journalArticle

Yuan, Jay ; Baichoo, Esha ; Wong Kee Song, Louis M. / Endoscopic therapies for acute esophageal perforations and leaks. In: Techniques in Gastrointestinal Endoscopy. 2014 ; Vol. 16, No. 1. pp. 53-61.
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