Use of temporary esophageal stent in management of perforations after benign esophageal surgery

Fumiaki Yano, Amr El Sherif, Charles Filipi, Sumeet K. Mittal

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Successful conservative management in 3 patients with catastrophic postoperative esophageal leak after nonresection surgery is presented. In each case, the placement of removable stent played a significant role. First patient had persistent leak after primary repair of intrathoracic esophageal perforation. The second patient underwent a transthoracic redo Collis-Nissen repair and was subsequently found to have a perforation in the midesophagus. The last patient had a history of recurrent hiatal hernia repair with mesh reinforcement of the hiatus. A perforation resulted from mesh eroding into the esophagus. All the patients had endoscopic placement of removable silicone-covered polyester stent under fluoroscopic guidance. Stent placement was successful in all patients allowing immediate resumption of diet. After stent removal, contrast study showed no leak or stricture. Endoscopic stent therapy is an effective option in the management of postoperative esophageal perforation.

Original languageEnglish
Pages (from-to)283-285
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume18
Issue number3
DOIs
StatePublished - Jun 2008

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All Science Journal Classification (ASJC) codes

  • Surgery

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