Use of Temporary Esophageal Stent in Management of Perforations After Benign Esophageal Surgery

Department of Surgery, Creighton University Medical Center, Omaha, NE, USA.
Surgical laparoscopy, endoscopy & percutaneous techniques (Impact Factor: 1.14). 07/2008; 18(3):283-5. DOI: 10.1097/SLE.0b013e31816b4bbd
Source: PubMed


Successful conservative management in 3 patients with catastrophic postoperative esophageal leak after nonresection surgery is presented. In each case, the placement of removable stent played a significant role. First patient had persistent leak after primary repair of intrathoracic esophageal perforation. The second patient underwent a transthoracic redo Collis-Nissen repair and was subsequently found to have a perforation in the midesophagus. The last patient had a history of recurrent hiatal hernia repair with mesh reinforcement of the hiatus. A perforation resulted from mesh eroding into the esophagus. All the patients had endoscopic placement of removable silicone-covered polyester stent under fluoroscopic guidance. Stent placement was successful in all patients allowing immediate resumption of diet. After stent removal, contrast study showed no leak or stricture. Endoscopic stent therapy is an effective option in the management of postoperative esophageal perforation.

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    ABSTRACT: Enteral stent placement for disorders of the gastrointestinal tract has evolved significantly over the past decade. While the majority of enteral stent placement is still performed for malignant obstruction, advancements in endoscopic technique and device technology have opened the door for the use of enteral stenting for benign disease as well. This chapter focuses on the indications, techniques, and currently available technologies for stent placement in the esophagus, small intestine, and colon. KeywordsGastrointestinal-Tract-Stenting-Esophageal-Enteral
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