Year 2023 / Volume 115 / Number 6
Letter
Endoscopic stent placement after spontaneous esophageal perforation associated with chemoradiotherapy for esophageal cancer

327-328

DOI: 10.17235/reed.2022.9162/2022

Joel Omar Jáquez-Quintana, Susanna Scharrer-Cabello, Armando Antonio Baeza-Zapata, Héctor Jesús Maldonado-Garza, María José Sánchez-Otero, Carlos Alberto Téllez-Hinojosa,

Abstract
A 38-year-old male with established diagnosis of stage IV squamous cell carcinoma of the esophagus treated with chemoradiotherapy (25 sessions of 50 Gy), presented with acute aphagia, thoracic pain, productive cough, and mild hemoptysis. Upon physical examination the right hemithorax presented with crepitations. An initial CT scan showed an esophageal perforation. An upper endoscopy was performed, visualizing the esophageal perforation in the mid third of the esophagus at 26 cm of the dental arcade. It was possible to bypass and intubate the stomach, enabling the placement of a guide wire under endoscopic visualization. Afterwards, a partially covered, self-expandable, metal stent (Wallflex esophageal stent 10 cm/18/23; Boston Scientific) was placed in the esophagus restoring continuity, visualized by fluoroscopy.
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References
1. Kobayashi T, Makino T, Yamasaki M, et al. Successful Stenting Followed by Surgery for Perforated Esophageal Cancer Due to Chemotherapy. Ann Thorac Surg. 2019;108(6):e361–3.
2. Spaander MCW, van der Bogt RD, Baron TH, et al. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2021. Endoscopy. 2021 Jul 30;53(07):751–62.
3. Iglesias Jorquera E, Egea Valenzuela J, Serrano Jiménez A, et al. Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents. Rev Esp Enfermedades Dig. 2020;112(1):14–22.
4. Søreide JA, Viste A. Esophageal perforation: Diagnostic work-up and clinical decision-making in the first 24 hours. Scand J Trauma Resusc Emerg Med. 2011;19(1):66.
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Citation tools
Jáquez-Quintana J, Scharrer-Cabello S, Baeza-Zapata A, Maldonado-Garza H, Sánchez-Otero M, Téllez-Hinojosa C, et all. Endoscopic stent placement after spontaneous esophageal perforation associated with chemoradiotherapy for esophageal cancer. 9162/2022


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Publication history

Received: 27/08/2022

Accepted: 29/08/2022

Online First: 12/09/2022

Published: 06/06/2023

Article Online First time: 16 days

Article editing time: 283 days


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