Subscribe to RSS
DOI: 10.4103/2231-0770.179552
Esophageal stent placement as a therapeutic option for iatrogenic esophageal perforation in children
Financial support and sponsorship Nil.Abstract
Iatrogenic esophageal perforation (IEP) is a potentially serious adverse event of interventional endoscopy. The approach to IEP varies from surgical repair for large perforations to conservative treatment for small contained perforations. We report a case of an 18-month-old girl with congenital esophageal stenosis suffering a large esophageal perforation after a trial of stricture dilatation, which was successfully managed by the placement of fully covered stent. Hence, in selected cases, esophageal stent placement is a feasible alternative to invasive surgery in managing IEP.
Publication History
Article published online:
09 August 2021
© 2016. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Murphy SG, Yazbeck S, Russo P. Isolated congenital esophageal stenosis. J Pediatr Surg 1995;30:1238-41.
- 2 Ramesh JC, Ramanujam TM, Jayaram G. Congenital esophageal stenosis: Report of three cases, literature review, and a proposed classification. Pediatr Surg Int 2001;17:188-92.
- 3 Michaud L, Coutenier F, Podevin G, Bonnard A, Becmeur F, Khen-Dunlop N, et al. Characteristics and management of congenital esophageal stenosis: Findings from a multicenter study. Orphanet J Rare Dis 2013;8:186.
- 4 Hernandez LV, Jacobson JW, Harris MS. Comparison among the perforation rates of Maloney, balloon, and savary dilation of esophageal strictures. Gastrointest Endosc 2000;51(4 Pt 1):460-2.
- 5 Romeo E, Foschia F, de Angelis P, Caldaro T, Federici di Abriola G, Gambitta R, et al. Endoscopic management of congenital esophageal stenosis. J Pediatr Surg 2011;46:838-41.
- 6 Rico FR, Panzer AM, Kooros K, Rossi TM, Pegoli W Jr. Use of polyflex airway stent in the treatment of perforated esophageal stricture in an infant: A case report. J Pediatr Surg 2007;42:E5-8.
- 7 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.