Minimally invasive management of esophageal perforation

EROĞLU, ATİLA; Aydin, Yener; YILMAZ, Ömer

Minimally invasive management of esophageal perforation

Yener AYDIN, (Atatürk Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Erzurum, Türkiye)

Ömer YILMAZ, (Atatürk Üniversitesi Gastroenteroloji Anabilim Dalı, Erzurum, Türkiye)

Atila EROĞLU (Atatürk Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Erzurum, Türkiye)

Türk Göğüs Kalp Damar Cerrahisi Dergisi

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Yıl: 2018 Cilt: 26 Sayı: 3 Sayfa Aralığı: 496 - 503 Metin Dili: İngilizce İndeks Tarihi: 28-11-2018

Minimally invasive management of esophageal perforation

Öz:

Esophageal perforation is a medical emergency associated with high morbidity and mortality. There is no consensus on the optimal treatment of this life-threatening condition. Conventional treatment of esophageal perforation is surgical. However, more recently, endoscopic treatment has become the treatment of choice given its less invasive nature compared to surgical treatment. This includes endoscopic clip administration, endoscopic stent placement, endoscopic suturing, endoscopic vacuum therapy and tissue sealants which are all administered via the endoluminal route. Whilst small defects (<2 cm) may be closed with endoscopic clips, larger defects require stent placement or suturing. Removable esophageal stent is an effective method of treatment in cases with esophageal perforation as they allow minimal invasive repair of perforation and rapid nutrition. Endoscopic suturing can be used both to fix the stent to prevent migration and to primarily close the perforation. If perforation is associated with a mediastinal collection, drainage is mandatory and this procedure can be performed by computed tomography guided percutaneous drainage, thoracoscopy or endoscopic vacuum therapy. In some cases, a combination of these minimally invasive methods is required. Since endoscopic methods provide better quality of life and outcomes and shorten length of hospitalization, such methods have become the treatment of choice for esophageal perforation.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Özofagus perforasyonunun minimal invaziv tedavisi

Öz:

Özofagus perforasyonu yüksek morbidite ve mortalite ile karakterize acil bir durumdur. Hayatı tehdit eden bu durumun uygun tedavisi konusunda kesin bir fikir birliği bulunmamaktadır. Geleneksel olarak özofagus perforasyonunun tedavisi cerrahidir. Bununla birlikte, endoskopik tedavi cerrahiden daha az invaziv ve daha az morbid olarak günümüzde primer tedavi seçimidir. Endoskopik klip uygulaması, endoskopik stent yerleştirilmesi, endoskopik sütür, endoskopik vakum tedavisi ve doku yapıştırıcıları endolüminal yoldan uygulanmaktadır. Küçük defektler (<2 cm) endoskopik klipler ile kapatılabilir. Daha büyük defektler stent yerleştirilmesi veya sütür gerektirir. Çıkartılabilir özofagus stenti, perforasyonun minimal invaziv onarımına ve hızlı beslenmeye izin vermesiyle özofagus perforasyonu olan olgularda etkili bir tedavi yöntemidir. Endoskopik sütür hem migrasyonu önlemek için stentin sabitlenmesi hem de perforasyonun primer olarak kapatılması için kullanılabilir. Perforasyon bir mediastinal koleksiyon ile ilişkili ise, drenaj zorunludur ve bu işlem bilgisayarlı tomografi rehberliğinde perkütan drenaj, torakoskopi veya endoskopik vakum tedavisi ile yapılabilir. Bazı olgularda bu minimal invaziv yöntemlerin kombinasyonu gerekir. Endoskopi merkezli minimal invaziv yöntemlerin daha iyi yaşam kalitesi ve sonuçlar sağlaması ve hastanede yatış süresini kısaltması nedeni ile özofagus perforasyonunda tedavi seçiminde bu yöntemlere doğru bir yönelim gözlenmektedir.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

41. Kotzampassi K, Eleftheriadis E. Tissue sealants in endoscopic applications for anastomotic leakage during a 25-year period. Surgery 2015;157:79-86.
40. Brangewitz M, Voigtländer T, Helfritz FA, Lankisch TO, Winkler M, Klempnauer J, et al. Endoscopic closure of esophageal intrathoracic leaks: stent versus endoscopic vacuum-assisted closure, a retrospective analysis. Endoscopy 2013;45:433-8.
39. Laukoetter MG, Mennigen R, Neumann PA, Dhayat S, Horst G, Palmes D, et al. Successful closure of defects in the upper gastrointestinal tract by endoscopic vacuum therapy (EVT): a prospective cohort study. Surg Endosc 2017;31:2687-96.
38. Sharaiha RZ, Kumta NA, DeFilippis EM, Dimaio CJ, Gonzalez S, Gonda T, et al. A Large Multicenter Experience With Endoscopic Suturing for Management of Gastrointestinal Defects and Stent Anchorage in 122 Patients: A Retrospective Review. J Clin Gastroenterol 2016;50:388-92.
37. Ngamruengphong S, Sharaiha RZ, Sethi A, Siddiqui AA, DiMaio CJ, Gonzalez S, et al. Endoscopic suturing for the prevention of stent migration in benign upper gastrointestinal conditions: a comparative multicenter study. Endoscopy 2016;48:802-8.
36. van Boeckel PG, Dua KS, Weusten BL, Schmits RJ, Surapaneni N, Timmer R, et al. Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. BMC Gastroenterol 2012;12:19.
35. Freeman RK, Ascioti AJ, Giannini T, Mahidhara RJ. Analysis of unsuccessful esophageal stent placements for esophageal perforation, fistula, or anastomotic leak. Ann Thorac Surg 2012;94:959-64.
34. Hünerbein M, Stroszczynski C, Moesta KT, Schlag PM. Treatment of thoracic anastomotic leaks after esophagectomy with self-expanding plastic stents. Ann Surg 2004;240:801-7.
33. Moyes LH, Mackay CK, Forshaw MJ. The use of self-expanding plastic stents in the management of oesophageal leaks and spontaneous oesophageal perforations. Diagn Ther Endosc 2011;2011:418103.
32. Turkyilmaz A, Aydin Y, Eroglu A, Bilen Y, Karaoglanoglu N. Palliative management of esophagorespiratory fistula in esophageal malignancy. Surg Laparosc Endosc Percutan Tech 2009;19:364-7.
31. Turkyilmaz A, Eroglu A, Aydin Y, Kurt A, Bilen Y, Karaoglanoglu N. Complications of metallic stent placement in malignant esophageal stricture and their management. Surg Laparosc Endosc Percutan Tech 2010;20:10-5.
30. Eroğlu A, Aydın Y, Altuntaş B, Türkyılmaz A. Treatment of complications caused by metallic stent placement in esophageal cancer. Turk Gogus Kalp Dama 2016;24:703-10.
29. Kirschniak A, Subotova N, Zieker D, Königsrainer A, Kratt T. The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas. Surg Endosc 2011;25:2901-5.
28. Haito-Chavez Y, Law JK, Kratt T, Arezzo A, Verra M, Morino M, et al. International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects (with video). Gastrointest Endosc 2014;80:610-22.
27. Ferreira AO, Lopes J, Velosa J. Snapper fishbone esophageal perforation closed with an over-the-scope-clip. BMJ Case Rep 2013;2013: bcr2013201614.
26. Nishiyama N, Mori H, Kobara H, Rafiq K, Fujihara S, Kobayashi M, et al. Efficacy and safety of over-the-scope clip: including complications after endoscopic submucosal dissection. World J Gastroenterol 2013;19:2752-60.
25. von Renteln D, Schmidt A, Vassiliou MC, Rudolph HU, Caca K. Endoscopic full-thickness resection and defect closure in the colon. Gastrointest Endosc 2010;71:1267-73.
24. Rogalski P, Daniluk J, Baniukiewicz A, Wroblewski E, Dabrowski A. Endoscopic management of gastrointestinal perforations, leaks and fistulas. World J Gastroenterol 2015;21:10542-52.
23. Rokszin R, Simonka Z, Paszt A, Szepes A, Kucsa K, Lazar G. Successful endoscopic clipping in the early treatment of spontaneous esophageal perforation. Surg Laparosc Endosc Percutan Tech 2011;21:311-2.
22. Coda S, Antonellis F, Tsagkaropulos S, Francioni F, Trentino P. Complete endoscopic closure (clipping) of a large esophageal perforation after pneumatic dilation in a patient with achalasia. J Laparoendosc Adv Surg Tech A 2012;22:815-8.
21. Saxena P, Khashab MA. Endoscopic Management of Esophageal Perforations: Who, When, and How? Curr Treat Options Gastroenterol 2017;15:35-45.
20. Kuppusamy MK, Hubka M, Felisky CD, Carrott P, Kline EM, Koehler RP, et al. Evolving management strategies in esophageal perforation: surgeons using nonoperative techniques to improve outcomes. J Am Coll Surg 2011;213:164-71.
19. Fiscon V, Portale G, Fania P, Duodeci S, Frigo F, Migliorini G. Successful minimally invasive repair of spontaneous esophageal perforation. J Laparoendosc Adv Surg Tech A 2008;18:721-2.
18. Cho JS, Kim YD, Kim JW, I HS, Kim MS. Thoracoscopic primary esophageal repair in patients with Boerhaave's syndrome. Ann Thorac Surg 2011;91:1552-5.
17. van Boeckel PG, Sijbring A, Vleggaar FP, Siersema PD. Systematic review: temporary stent placement for benign rupture or anastomotic leak of the oesophagus. Aliment Pharmacol Ther 2011;33:1292-301.
16. Ben-David K, Lopes J, Hochwald S, Draganov P, Forsmark C, Collins D, et al. Minimally invasive treatment of esophageal perforation using a multidisciplinary treatment algorithm: a case series. Endoscopy 2011;43:160-2.
15. Vogel SB, Rout WR, Martin TD, Abbitt PL. Esophageal perforation in adults: aggressive, conservative treatment lowers morbidity and mortality. Ann Surg 2005;241:1016-21.
14. Minnich DJ, Yu P, Bryant AS, Jarrar D, Cerfolio RJ. Management of thoracic esophageal perforations. Eur J Cardiothorac Surg 2011;40:931-7.
13. Keeling WB, Miller DL, Lam GT, Kilgo P, Miller JI, Mansour KA, et al. Low mortality after treatment for esophageal perforation: a single-center experience. Ann Thorac Surg 2010;90:1669-73.
12. Vallböhmer D, Hölscher AH, Hölscher M, Bludau M, Gutschow C, Stippel D, et al. Options in the management of esophageal perforation: analysis over a 12-year period. Dis Esophagus 2010;23:185-90.
11. Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC. Evolving options in the management of esophageal perforation. Ann Thorac Surg 2004;77:1475-83.
10. Carrott PW Jr, Low DE. Advances in the management of esophageal perforation. Thorac Surg Clin 2011;21:541-55.
9. Ben-David K, Behrns K, Hochwald S, Rossidis G, Caban A, Crippen C, et al. Esophageal perforation management using a multidisciplinary minimally invasive treatment algorithm. J Am Coll Surg 2014;218:768-74.
8. Fadoo F, Ruiz DE, Dawn SK, Webb WR, Gotway MB. Helical CT esophagography for the evaluation of suspected esophageal perforation or rupture. AJR Am J Roentgenol 2004;182:1177-9.
7. Foley MJ, Ghahremani GG, Rogers LF. Reappraisal of contrast media used to detect upper gastrointestinal perforations: comparison of ionic water-soluble media with barium sulfate. Radiology 1982;144:231-7.
6. Eroglu A, Turkyilmaz A, Aydin Y, Yekeler E, Karaoglanoglu N. Current management of esophageal perforation: 20 years experience. Dis Esophagus 2009;22:374-80.
5. Eroglu A, Can Kürkçüogu I, Karaoganogu N, Tekinbaş C, Yimaz O, Başog M. Esophageal perforation: the importance of early diagnosis and primary repair. Dis Esophagus 2004;17:91-4.
4. Faggian A, Berritto D, Iacobellis F, Reginelli A, Cappabianca S, Grassi R. Imaging Patients With Alimentary Tract Perforation: Literature Review. Semin Ultrasound CT MR 2016;37:66-9.
3. Pasricha PJ, Fleischer DE, Kalloo AN. Endoscopic perforations of the upper digestive tract: a review of their pathogenesis, prevention, and management. Gastroenterology 1994;106:787-802.
2. Eroglu A, Aydin Y, Yilmaz O. Thoracic perforations-surgical techniques. Ann Transl Med 2018;6:40.
1. Di Leo M, Maselli R, Ferrara EC, Poliani L, Al Awadhi S, Repici A. Endoscopic Management of Benign Esophageal Ruptures and Leaks. Curr Treat Options Gastroenterol 2017;15:268-84.

APA	Aydin Y, YILMAZ Ö, EROĞLU A (2018). Minimally invasive management of esophageal perforation. , 496 - 503.
Chicago	Aydin Yener,YILMAZ Ömer,EROĞLU ATİLA Minimally invasive management of esophageal perforation. (2018): 496 - 503.
MLA	Aydin Yener,YILMAZ Ömer,EROĞLU ATİLA Minimally invasive management of esophageal perforation. , 2018, ss.496 - 503.
AMA	Aydin Y,YILMAZ Ö,EROĞLU A Minimally invasive management of esophageal perforation. . 2018; 496 - 503.
Vancouver	Aydin Y,YILMAZ Ö,EROĞLU A Minimally invasive management of esophageal perforation. . 2018; 496 - 503.
IEEE	Aydin Y,YILMAZ Ö,EROĞLU A "Minimally invasive management of esophageal perforation." , ss.496 - 503, 2018.
ISNAD	Aydin, Yener vd. "Minimally invasive management of esophageal perforation". (2018), 496-503.

APA	Aydin Y, YILMAZ Ö, EROĞLU A (2018). Minimally invasive management of esophageal perforation. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 26(3), 496 - 503.
Chicago	Aydin Yener,YILMAZ Ömer,EROĞLU ATİLA Minimally invasive management of esophageal perforation. Türk Göğüs Kalp Damar Cerrahisi Dergisi 26, no.3 (2018): 496 - 503.
MLA	Aydin Yener,YILMAZ Ömer,EROĞLU ATİLA Minimally invasive management of esophageal perforation. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.26, no.3, 2018, ss.496 - 503.
AMA	Aydin Y,YILMAZ Ö,EROĞLU A Minimally invasive management of esophageal perforation. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2018; 26(3): 496 - 503.
Vancouver	Aydin Y,YILMAZ Ö,EROĞLU A Minimally invasive management of esophageal perforation. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2018; 26(3): 496 - 503.
IEEE	Aydin Y,YILMAZ Ö,EROĞLU A "Minimally invasive management of esophageal perforation." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 26, ss.496 - 503, 2018.
ISNAD	Aydin, Yener vd. "Minimally invasive management of esophageal perforation". Türk Göğüs Kalp Damar Cerrahisi Dergisi 26/3 (2018), 496-503.