학술논문

Endoscopic vacuum therapy for esophageal perforation: a multicenter retrospective cohort study.
Document Type
Article
Source
Endoscopy. 2023, Vol. 55 Issue 9, p859-864. 6p.
Subject
*ESOPHAGEAL perforation
*NEGATIVE-pressure wound therapy
*COHORT analysis
Language
ISSN
0013-726X
Abstract
The rate of successful defect closure by EVT, with or without the use of other endoscopic treatment modalities, was 89 %, suggesting that EVT is an effective organ-sparing therapeutic option for these perforations, allowing invasive surgery to be avoided in the vast majority of patients. Generally, patients with defects large enough for endoscope passage with large extraluminal cavities received intracavitary therapy and patients with small defects received intraluminal therapy. 1 Trajectory of successful endoscopic vacuum therapy in a patient with Boerhaave syndrome. a,b The initial defect. c-e The defect during sponge exchange. f Successful closure of the defect. Graph Introduction Esophageal perforations can be caused by iatrogenic or non-iatrogenic means, including endoscopic procedures and Boerhaave syndrome. [Extracted from the article]