Year 2023 / Volume 115 / Number 10
Letter
Endoscopic endoluminal therapy with the Eso-SPONGE® system for the treatment of spontaneous esophageal perforation with associated paraoesophageal collection

589

DOI: 10.17235/reed.2023.9490/2023

Leire Parapar Álvarez, Carolina Cerrella Cano, Carlos Andrés Vargas González, Edisa M. Armesto González,

Abstract
We present the case of a 92-year-old woman with no relevant history, who consulted for sore throat, progressive dysphagia to solids and fever. A cervical-thoraco-abdominal CT was performed with the finding of a paraesophageal collection at the level of C3-T1 without a clear solution of continuity, although with passage of oral contrast to the collection, exerting a mass effect on the esophageal lumen, suggestive of contained esophageal perforation, of cause not clarified. A gastroscopy was performed, in which three esophageal fistulous orifices were observed, two 4-5 mm, and a third 10 mm deeper, located 22cm from the dental arch, septate, with perilesional purulent material and bubbling.
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References
1. Mastoridis S, Chana P, Singh M, et al Endoscopic vacuum therapy (EVT) in the management of oesophageal perforations and post-operative leaks. Minim Invasive Ther Allied Technol. 2022 Mar;31(3):380-388.
2. Radaelli LFZ, Aramini B, Ciarrocchi A, et al. The success of Eso-SPONGE® therapy in the treatment of anastomotic dehiscence after Ivor-Lewis subtotal esophagectomy: A case report. Int J Surg Case Rep. 2021 Nov;88:106525.
3. Alakkari A, Sood R, Everett SM, et al. First UK experience of endoscopic vacuum therapy for the management of oesophageal perforations and postoperative leaks. Frontline Gastroenterol. 2019 Apr;10(2):200-203.
4. Iglesias Jorquera E, Egea Valenzuela J, Serrano Jiménez A, Carrilero Zaragoza G, Ortega Sabater A, Sánchez Velasco E, Ruiz de Angulo D, Munitiz V, Parrilla P, Alberca de Las Parras F. Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents. Rev Esp Enferm Dig. 2021 Jan;113(1):14-22. doi: 10.17235/reed.2020.6821/2019. PMID: 33118355.
5. Vázquez-Sequeiros E, Rodríguez de Santiago E, Tavío E, Graus J, Juzgado D, Chon SH, Albillos A. Self-expandable metal stent fixation with a temporary Overstitch Apollo® suture as a rescue therapy for a reluctant tuberculous esophageal-mediastinal fistula. Rev Esp Enferm Dig. 2022 Jun;114(6):355-356. doi: 10.17235/reed.2022.8579/2022. PMID: 35073722.
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Citation tools
Parapar Álvarez L, Cerrella Cano C, Vargas González C, Armesto González E. Endoscopic endoluminal therapy with the Eso-SPONGE® system for the treatment of spontaneous esophageal perforation with associated paraoesophageal collection. 9490/2023


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Publication history

Received: 24/01/2023

Accepted: 31/01/2023

Online First: 13/02/2023

Published: 09/10/2023

Article Online First time: 20 days

Article editing time: 258 days


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