Article
Pediatrics
Khaled M. El-Asmar, Mostafa M. Elghandour, Ayman M. Allam
Summary: The study reviewed the management of 24 patients with iatrogenic esophageal perforation, showing that preserving the native esophagus is possible after caustic esophageal stricture, but a conservative approach should be attempted cautiously to avoid endangering patient's life.
JOURNAL OF PEDIATRIC SURGERY
(2021)
Review
Surgery
Lisanne M. D. Pattynama, Wietse J. Eshuis, Mark van Berge I. Henegouwen, Jacques J. G. H. M. Bergman, Roos E. Pouw
Summary: This study describes the use of a new treatment modality called "vacuum-stent" for the management of transmural defects in the upper GI tract. The results show that this treatment method successfully closed the defects without any major adverse events.
FRONTIERS IN SURGERY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Anas Y. Mouchli, Hannan Chaugle, John G. Byrne
Summary: This article reports a technique for effectively repairing left main coronary artery shredding after rotational atherectomy and destruction. The patient was considered inoperable due to diffuse distal coronary disease at another medical center. The complication resulted in cardiac tamponade and hemodynamic collapse, requiring cardiopulmonary resuscitation and salvage surgery. This case may be the first in the literature to demonstrate successful repair of such a complex and significant rupture in a critically ill patient.
ANNALS OF THORACIC SURGERY
(2023)
Article
Pediatrics
Aleksandra Mikolajczak, Katarzyna Kufel, Joanna Zytynska-Daniluk, Magdalena Rutkowska, Renata Bokiniec, Vasanth Kumar
Summary: Greater awareness of iatrogenic esophageal perforation (EP) is needed due to its potential long-term morbidities. This study analyzes the consequences of orogastric/nasogastric tube position in radiographic images and investigates the influence of histological chorioamnionitis on the development of EP in preterm infants. Examining the hospital records of 1149 preterm infants, the study compares mortalities and morbidities between the EP group and the control group, finding that the only significant difference was in air leaks (p = 0.01).
Article
Gastroenterology & Hepatology
Seung-Hun Chon, Julia Scherdel, Isabel Rieck, Florian Lorenz, Thomas Dratsch, Robert Kleinert, Florian Gebauer, Hans Friedrich Fuchs, Tobias Goeser, Christiane Josephine Bruns
Summary: VACStent(R) is a novel endoscopic treatment option that combines the advantages of SEMS and EVT. It successfully built a barrier to leaks and facilitated wound healing in this study, with a technical success rate of 100%. However, only 60% of patients achieved clinical success in closing the leaks, and there were issues with oral feeding.
DISEASES OF THE ESOPHAGUS
(2022)
Article
Surgery
Dana McCloskey, Kimberly Linden, Andrew Lin, Ping Zhang, Jennifer Schweinsburg, Atlee Melillo, Huan Wang, Julieta Barroeta, Spencer Brown, Jeffrey Carpenter, Francis Spitz, David Shersher
Summary: This study demonstrated in a rodent model that human adipose-derived stem cells can promote healing of esophageal injury, increasing granulation tissue and reducing inflammation. Targeted submucosal injection of hASC is an effective delivery method for therapy during esophageal stent placement.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Medicine, General & Internal
Hee-Sung Kim, Yook Kim, Joung-Ho Han
Summary: This case report presents a successful management of anastomotic leak using a fully covered self-expandable esophageal metal stent and a mixture of fibrin glue and histoacryl in a female patient following laparoscopic proximal gastrectomy. Although endoscopic clip closure failed, the leakage was eventually sealed with fluoroscopy-guided histoacryl injection, leading to patient discharge without complications.
WORLD JOURNAL OF CLINICAL CASES
(2021)
Article
Respiratory System
Chien-Hung Chiu, Osbert Qi Yao Leow, Yu-Chao Wang, Wei-Hsun Chen, Hsin-Yueh Fang, Yin-Kai Chao, Jules Lin
Summary: In this study, a hybrid approach combining endoscopic esophageal stent placement with extraluminal sutures, thoracoscopic decortication with chest tube drainage, gastric decompression, and jejunostomy tube placement was found to be feasible and effective in the treatment of delayed spontaneous esophageal perforations.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Surgery
Julie Veziant, Fabio Boudis, Xavier Lenne, Amelie Bruandet, Clarisse Eveno, Frederiek Nuytens, Guillaume Piessen
Summary: This study evaluated the outcomes of esophageal perforation management and identified predictive factors for 90-day mortality, failure-to-rescue, and major morbidity. The results showed that esophageal cancer was a predictive factor for both 90-day mortality and failure-to-rescue. Treating 8 or more cases of esophageal perforation annually was associated with a reduced risk of 90-day mortality and failure-to-rescue.
Article
Oncology
Chan-Jun Zhen, Wen-Wen Bai, Ping Zhang, Yu-Zhi Song, Ya-Jing Wang, Xue-Ying Qiao, Zhi-Guo Zhou
Summary: This study retrospectively analyzed the treatment and prognosis of patients with esophageal perforation (EP) after radiotherapy in esophageal carcinoma (EC) patients. The majority of patients died within six months, with low survival and poor prognosis. Tube feeding therapy achieved relatively good survival, especially for patients with esophagomediastinal fistula (EMF). The survival rate of patients treated with tube feeding therapy was significantly better than that of patients treated with other methods.
FRONTIERS IN ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Patricia Sanz Segura, Jesus Gotor Delso, Paula Garcia Camara, Eva Sierra Moros, Jose Val Perez, Maria Teresa Soria Santeodoro, Rafael Uribarrena Amezaga
Summary: This study aimed to analyze the use of double-layered covered esophageal metal stents (DLCEMS) in patients with esophageal leaks and perforations. The results showed that DLCEMS had a high success rate and low complication rate in resolving leaks and perforations.
GASTROENTEROLOGIA Y HEPATOLOGIA
(2022)
Article
Surgery
Stanislaus Reimer, Florian Seyfried, Sven Flemming, Markus Brand, Alexander Weich, Anna Widder, Lars Plassmeier, Peter Kraus, Anna Doering, Ilona Hering, Mohammed K. Hankir, Alexander Meining, Christoph-Thomas Germer, Johan F. Lock, Kaja Groneberg
Summary: This study evaluated the clinical impact of quality improvements in endoscopic vacuum therapy (EVT) management on upper gastrointestinal (UGI) tract leakage patients. The results showed that the quality improvements in EVT management led to decreased composite score MTL30, increased efficacy, reduced need for additional procedures and reoperations, shortened duration of leakage therapy and length-of-stay, decreased morbidity, and improved nutrition status at discharge.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, General & Internal
Clyde M. Stauffer, Mohan Kulkarni
Summary: A 44-year-old male presented to the ER with severe abdominal pain and a reported syncope episode. Exam and imaging revealed a perforated stomach caused by a migrated esophageal stent, which was used for the treatment of a refractory benign esophageal stricture.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Medicine, General & Internal
Evan K. Lin, Felicia Lee, Jasmin Cao, Christian Saliba, Vivian Lu, Raymond I. Okeke, Justin Sobrino, Christopher Blewett
Summary: Esophageal perforations can be caused by iatrogenic or non-iatrogenic factors. Early identification is crucial for a favorable outcome. In cases where conservative management and surgical repair fail, endoscopic esophageal vacuum-assisted closure should be considered as a definitive treatment.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Bing F. Wang, Steven Yi, Jayanth Keshavamurthy, Hadyn Williams, Darko Pucar
Summary: Gallbladder perforation is a rare and serious complication of acute cholecystitis, most commonly occurring in the fundus with limited blood supply leading to ischemia and necrosis. The Niemeier classification divides it into acute, subacute, and chronic types.
CLINICAL NUCLEAR MEDICINE
(2021)