Abstract | BACKGROUND: METHODS: RESULTS: Twenty-one esophageal stents were placed in 19 patients for spontaneous esophageal perforations. Associated endoscopic (n = 19) or surgical procedures (n = 9) were also simultaneously performed. Leak occlusion occurred in 17 patients (89%). Fifteen patients (79%) were able to initiate oral nutrition within 72 hours of stent placement. Two patients (10%) with a perforation extending across the gastroesophageal junction experienced a continued leak after stent placement and underwent operative repair. Stent migration in 4 patients (21%) required repositioning (n = 4) or replacement (n = 2). Stents were removed at a mean of 20 +/- 15 days after placement. Hospital length of stay was 9 +/- 12 days. CONCLUSIONS: Endoluminal esophageal stent placement is an effective treatment of most spontaneous esophageal perforations. These stents result in rapid leak occlusion, provide the opportunity for early oral nutrition, may significantly reduce hospital length of stay, are removable, and avoid the potential morbidities of operative repair.
|
Authors | Richard K Freeman, Jaclyn M Van Woerkom, Amy Vyverberg, Anthony J Ascioti |
Journal | The Annals of thoracic surgery
(Ann Thorac Surg)
Vol. 88
Issue 1
Pg. 194-8
(Jul 2009)
ISSN: 1552-6259 [Electronic] Netherlands |
PMID | 19559223
(Publication Type: Journal Article)
|
Chemical References |
|
Topics |
- Adult
- Aged
- Contrast Media
- Esophageal Perforation
(diagnostic imaging, surgery)
- Esophagoscopy
(methods)
- Female
- Follow-Up Studies
- Humans
- Length of Stay
- Male
- Manometry
- Middle Aged
- Minimally Invasive Surgical Procedures
(methods)
- Pain Measurement
- Pain, Postoperative
(physiopathology)
- Prospective Studies
- Risk Assessment
- Severity of Illness Index
- Stents
- Tomography, X-Ray Computed
(methods)
- Treatment Outcome
|