Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation

An esophageal perforation is one of the most fatal clinical events, with a mortality rate of up to 21%. This may arise postoperatively or post-endoscopically. In the past, surgical treatment, such as an esophagectomy, was performed these cases. However, the procedure was challenging and had a high r...

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Main Authors: Yuri Kim, Seokin Kang, Ji Yong Ahn
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2021-12-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/upload/pdf/kjhugr-2021-0032.pdf
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author Yuri Kim
Seokin Kang
Ji Yong Ahn
author_facet Yuri Kim
Seokin Kang
Ji Yong Ahn
author_sort Yuri Kim
collection DOAJ
description An esophageal perforation is one of the most fatal clinical events, with a mortality rate of up to 21%. This may arise postoperatively or post-endoscopically. In the past, surgical treatment, such as an esophagectomy, was performed these cases. However, the procedure was challenging and had a high risk of postoperative complications. Recently, advancements in endoscopic techniques have been made, and endoscopic procedures became a common treatment modality for patients with esophageal perforation, even in those with underlying diseases. Among the endoscopic procedures, endoscopic vacuum-assisted closure (E-VAC) has been known to be safe and effective. We present the case of a 64-year-old female with advanced liver cirrhosis and an overtube-induced esophageal perforation during esophageal variceal ligation. She was successfully treated with E-VAC.
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publisher Korean College of Helicobacter and Upper Gastrointestinal Research
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series The Korean Journal of Helicobacter and Upper Gastrointestinal Research
spelling doaj-art-c4e59e3f1e564dccbc46ade6a44d28b62025-08-20T03:38:55ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312021-12-0121433333810.7704/kjhugr.2021.0032703Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal PerforationYuri Kim0Seokin Kang1Ji Yong Ahn2Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaAn esophageal perforation is one of the most fatal clinical events, with a mortality rate of up to 21%. This may arise postoperatively or post-endoscopically. In the past, surgical treatment, such as an esophagectomy, was performed these cases. However, the procedure was challenging and had a high risk of postoperative complications. Recently, advancements in endoscopic techniques have been made, and endoscopic procedures became a common treatment modality for patients with esophageal perforation, even in those with underlying diseases. Among the endoscopic procedures, endoscopic vacuum-assisted closure (E-VAC) has been known to be safe and effective. We present the case of a 64-year-old female with advanced liver cirrhosis and an overtube-induced esophageal perforation during esophageal variceal ligation. She was successfully treated with E-VAC.http://www.helicojournal.org/upload/pdf/kjhugr-2021-0032.pdfendoscopyesophageal perforationnegative-pressure wound therapy
spellingShingle Yuri Kim
Seokin Kang
Ji Yong Ahn
Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
endoscopy
esophageal perforation
negative-pressure wound therapy
title Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
title_full Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
title_fullStr Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
title_full_unstemmed Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
title_short Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
title_sort endoscopic vacuum assisted closure in a patient with an overtube induced esophageal perforation
topic endoscopy
esophageal perforation
negative-pressure wound therapy
url http://www.helicojournal.org/upload/pdf/kjhugr-2021-0032.pdf
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AT seokinkang endoscopicvacuumassistedclosureinapatientwithanovertubeinducedesophagealperforation
AT jiyongahn endoscopicvacuumassistedclosureinapatientwithanovertubeinducedesophagealperforation