Endoscopic Closure of Acute Esophageal Perforations

• Published in: Current gastroenterology reports Vol. 15; no. 5; p. 321
• Main Authors: Gomez-Esquivel, Rene, Raju, G. S.
• Format: Journal Article
• Language: English
• Published: New York Current Science Inc 01.05.2013; Springer Nature B.V
• Subjects: Abdomen; Abscesses; Acute Disease; Anastomotic Leak - etiology; Anastomotic Leak - surgery; Endoscopy; Esophageal Perforation - etiology; Esophageal Perforation - surgery; Esophagoscopy - instrumentation; Esophagoscopy - methods; Esophagus; Esophagus (L Gerson; Fistula; Foreign bodies; Gastroenterology; Humans; Iatrogenesis; Infections; Medicine; Medicine & Public Health; Mortality; Negative-Pressure Wound Therapy - methods; Ostomy; Patients; Regression analysis; Section Editor; Sepsis; Stents; Surgical anastomosis; Sutures; Systematic review; Topical Collection on Esophagus; Esophageal Fistula; Clips; Vacuum-assisted Closure; Esophageal Neoplasms; Intestinal Perforation; Endoscopy, Gastrointestinal; Esophageal Perforations; Anastomotic Leak; Stents; Esophageal stent; Esophagoscopy; Esophagus
• ISSN: 1522-8037; 1534-312X
• DOI: 10.1007/s11894-013-0321-9

Esophageal leak is a life-threatening problem that can result from spontaneous rupture of the esophagus, cancer, anastomotic dehiscence after surgery, or as a complication of endoscopy. During the last decade, developments in the minimally invasive endoluminal approach to the management of esophageal leaks include utilization of endoscopy not only for diagnosis but also for closure of leaks with clips or sutures, bypass of the leaks with stents, and/or endoluminal drainage of mediastinal infection. The aim of this review is to summarize recent advances and the principles of endoscopic management of acute esophageal perforations.