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.
Share Button
New comment
Comments
No comments for this article
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.
Related articles

Editorial

Pancreatic cancer screening in high-risk individuals

DOI: 10.17235/reed.2024.10635/2024

Editorial

Different trends in stomach and pancreatic cancer mortality rates

DOI: 10.17235/reed.2024.10504/2024

Letter

A case of achalasia associated with early esophageal cancer

DOI: 10.17235/reed.2024.10177/2023

Letter

Drug-induced sudden dysphagia

DOI: 10.17235/reed.2023.9989/2023

Letter

Mesalazine-induced esophageal ulcers. A rare adverse effect

DOI: 10.17235/reed.2023.9723/2023

Letter

Endoscopic rescue of a fistulizing biliary plastic stent

DOI: 10.17235/reed.2023.9673/2023

Letter

Esophageal necrosis secondary to thoracic aortic aneurysm

DOI: 10.17235/reed.2023.9580/2023

Digestive Diseases Image

Esophageal lichen planus: an unusual case of dysphagia

DOI: 10.17235/reed.2023.9572/2023

Letter

Large symptomatic esophageal diverticulum

DOI: 10.17235/reed.2023.9518/2023

Letter

Esophageal stent placement for endoscopic treatment failure

DOI: 10.17235/reed.2023.9517/2023

Digestive Diseases Image

Spontaneous regression of a rectal cancer

DOI: 10.17235/reed.2023.9486/2023

Digestive Diseases Image

Type II achalasia with post-POEM recovery of esophageal motility

DOI: 10.17235/reed.2023.9420/2022

Letter

Primary esophageal diffuse large B-cell lymphoma

DOI: 10.17235/reed.2022.9298/2022

Letter

Vaginal lesion as first manifestation of colorectal disease

DOI: 10.17235/reed.2022.9270/2022

Letter

Disconnected pancreatic duct syndrome. Endoscopic approach

DOI: 10.17235/reed.2022.9261/2022

Letter

A rare endoscopic finding: primary esophageal melanoma

DOI: 10.17235/reed.2022.9244/2022

Digestive Diseases Image

A case of esophageal histoplasmosis mimicking carcinoma on endoscopy

DOI: 10.17235/reed.2023.9167/2022

Digestive Diseases Image

A rare endoscopic pattern in a patient with gastroesophageal reflux disease

DOI: 10.17235/reed.2022.9124/2022

Letter

A small transparent cap, an extensive use

DOI: 10.17235/reed.2022.9075/2022

Editorial

Use a biodegradable stent in ERCP and it will never be forgotten

DOI: 10.17235/reed.2022.8926/2022

Review

Immunotherapy in hepatocellular carcinoma

DOI: 10.17235/reed.2022.8876/2022

Letter

A rare cause of a bulging mass in the mid esophagus

DOI: 10.17235/reed.2022.8834/2022

Digestive Diseases Image

Traumatic high flow arterioportal fistula. Correction by a covered stent

DOI: 10.17235/reed.2022.8724/2022

Letter

Cytomegalovirus colitis seems to be colon cancer. HIV debut

DOI: 10.17235/reed.2022.8699/2022

Letter

Sigmoid colon Schwannoma simulating colon cancer

DOI: 10.17235/reed.2022.8684/2022

Digestive Diseases Image

Dual esophageal compression secondary to two vascular abnormalities

DOI: 10.17235/reed.2022.8567/2022

Letter

Gurvits syndrome in diabetic ketoacidosis

DOI: 10.17235/reed.2021.8527/2021

Letter

Wernicke encephalopathy following advanced caecum cancer

DOI: 10.17235/reed.2021.8343/2021

Letter

Anal neoplasia and perianal Crohn’s disease: myth or reality?

DOI: 10.17235/reed.2021.8317/2021

Digestive Diseases Image

Cold loop polypectomy perforation of a tiny colon polyp

DOI: 10.17235/reed.2021.8221/2021

Digestive Diseases Image

Atypical image of pneumoperitoneum secondary to colon perforation

DOI: 10.17235/reed.2021.8180/2021

Letter

Biliary stent migration as a rare cause of ileal perforation

DOI: 10.17235/reed.2021.8073/2021

Digestive Diseases Image

Esophageal perforation secondary to an arterial embolization device in scimitar syndrome

DOI: 10.17235/reed.2021.7832/2021

Review

Inflammatory bowel disease and solid organ transplantation

DOI: 10.17235/reed.2020.7361/2020

Review

New non-invasive biomarkers for colorectal cancer screening

DOI: 10.17235/reed.2020.7233/2020

Original

Implementation of a peroral endoscopic myotomy program

DOI: 10.17235/reed.2020.7116/2020

Letter

Lumen-apposing metal stent deployment failure

DOI: 10.17235/reed.2020.7060/2020

Letter

Biopsy for hepatocellular carcinoma: only occasionally

DOI: 10.17235/reed.2020.6935/2020

Original

Closure of colonic deep mural injury and perforation with endoclips

DOI: 10.17235/reed.2020.6880/2020

Review

Management of pancreatic collections: an update

DOI: 10.17235/reed.2020.6814/2019

Letter

Medullary colorectal carcinoma. Do we really know it?

DOI: 10.17235/reed.2020.6728/2019

Digestive Diseases Image

Refractory tracheoesophageal fistula management with Amplatzer Occluder® placement

DOI: 10.17235/reed.2020.6719/2019

Digestive Diseases Image

A rare case of acute cholangitis after endoscopic ampullectomy

DOI: 10.17235/reed.2020.6653/2019

Digestive Diseases Image

Endoscopic therapy in disconnected duct syndrome: re-connecting the duct

DOI: 10.17235/reed.2020.6650/2019

Letter

A rare cause of esophageal mucosal and submucosal lesions

DOI: 10.17235/reed.2020.6531/2019

Letter

Hypertensive panesophageal pressurization in type II achalasia

DOI: 10.17235/reed.2019.6414/2019

Letter

PEG use in patients with squamous cell carcinoma

DOI: 10.17235/reed.2019.6381/2019

Letter

Intestinal perforation in unusual location

DOI: 10.17235/reed.2019.6352/2019

Case Report

Emphysematous esophagitis with gastric perforation

DOI: 10.17235/reed.2019.6322/2019

Letter

Signet ring cell carcinoma in a juvenile polyp

DOI: 10.17235/reed.2019.6299/2019

Digestive Diseases Image

Cervical arthrodesis penetrated into the esophagus detected by gastroscopy

DOI: 10.17235/reed.2019.6222/2019

Letter

Esophageal lichen planus: a rare cause of dysphagia

DOI: 10.17235/reed.2019.6064/2018

Digestive Diseases Image

Esophageal actinomycosis mimicking a carcinoma

DOI: 10.17235/reed.2020.6053/2018

Letter

The rectosigmoid junction: are limits important?

DOI: 10.17235/reed.2019.5983/2018

Letter

Mantle cell lymphoma of the cecum

DOI: 10.17235/reed.2019.5936/2018

Letter

Primary squamous cell carcinoma of the stomach: a rare entity

DOI: 10.17235/reed.2018.5900/2018

Editorial

Colorectal cancer screening and survival

DOI: 10.17235/reed.2018.5870/2018

Letter

Why anal cytology is not enough in a dysplasia screening program

DOI: 10.17235/reed.2018.5678/2018

Letter

Dysphagia lusoria: uncommon cause of dysphagia in children

DOI: 10.17235/reed.2018.5664/2018

Letter

A giant abdominal collection: when things are not what they seem

DOI: 10.17235/reed.2018.5642/2018

Editorial

Lung transplantation and esophageal dysfunction

DOI: 10.17235/reed.2018.5693/2018

Editorial

Pancreatic stents in ERCP. Where are we?

DOI: 10.17235/reed.2018.5670/2018

Letter

An esophageal cyst containing heterotopic gastric glands

DOI: 10.17235/reed.2018.5530/2018

Editorial

The right colon challenge

DOI: 10.17235/reed.2018.5544/2018

Digestive Diseases Image

Dysphagia and hematemesis caused by an intramural esophageal dissection

DOI: 10.17235/reed.2018.5471/2018

Letter to the Editor

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess

DOI: 10.17235/reed.2018.5411/2017

Editorial

Pursuing excellence in ERCP

DOI: 10.17235/reed.2018.5373/2017

Letter to the Editor

Idiopathic esophageal ulcer as an initial manifestation of HIV infection

DOI: 10.17235/reed.2017.5135/2017

Digestive Diseases Image

Fishbone impaction in the colon

Letter to the Editor

Meckel’s diverticulum perforated by a fishbone. An unusual presentation

DOI: 10.17235/reed.2017.4614/2016

Letter to the Editor

Eosinophilic esophagitis and herpetic esophagitis: cause or consequence?

DOI: 10.17235/reed.2017.4616/2016

Letter to the Editor

A complication following a biopsy sample in eosinophilic esophagitis

DOI: 10.17235/reed.2017.4560/2016

Letter to the Editor

Giant esophageal diverticulum as a new clinical indication for endoscopic gastrostomy

DOI: 10.17235/reed.2017.4528/2016

Letter to the Editor

Liver metastasis from colorectal cancer 12 years after liver transplantation

DOI: 10.17235/reed.2017.4507/2016

Letter to the Editor

Alopecia areata as a paraneoplastic syndrome of gastric cancer

DOI: 10.17235/reed.2016.4455/2016

Original

Practical aspects of high resolution esophageal manometry

DOI: 10.17235/reed.2016.4441/2016

Case Report

Jejunal pseudodiverticulosis. Three cases report

DOI: 10.17235/reed.2017.4403/2016

Letter to the Editor

Rupture of esophagus by compressed air

DOI: 10.17235/reed.2016.4307/2016

Case Report

Hemobilia due to intracholecystic papillary neoplasm

DOI: 10.17235/reed.2016.4205/2016

Review

Serrated lesions and serrated polyposis syndrome

DOI: 10.17235/reed.2017.4065/2015

Letter to the Editor

Endobronchial metastases of colorectal cancer

DOI: 10.17235/reed.2016.4080/2015

Original

Self-expanding metal stents in postoperative esophageal leaks

DOI: 10.17235/reed.2016.3987/2015

Case Report

Primary squamous cell carcinoma of the rectum: an atypical histology

DOI: 10.17235/reed.2016.3975/2015

Case Report

Severe halitosis as presentation of epiphrenic diverticulum

DOI: 10.17235/reed.2016.3933/2015

Review

Impaired esophageal motor function in eosinophilic esophagitis

DOI: 10.17235/reed.2015.3801/2015

Digestive Diseases Image

Successive breaks in biliary stents

Original

Management of refractory esophageal stenosis in the pediatric age

DOI: 10.17235/reed.2016.3671/2015

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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1242 visits.
This article has been downloaded 88 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology