ASGE DDW Videos from Around the World | 2022-AN ENDOSCOPIC APPROACH TO THERAPY FOR SPONTANEOUS ESOHAGEAL RUPTURE

AN ENDOSCOPIC APPROACH TO THERAPY FOR SPONTANEOUS ESOHAGEAL RUPTURE

Video Transcription

Video Summary

The video discusses an endoscopic approach to therapy for spontaneous esophageal rupture, focusing on Borchow syndrome. It explains that esophageal perforations can be life-threatening and describes the case of a 35-year-old patient with severe chest pain due to an esophageal rupture. The video demonstrates the use of an endoscopic suturing device to repair the perforation, with the placement of a fully covered esophageal stent for reinforcement. Stay sutures are used to prevent migration of the stent. The video also emphasizes the importance of a multidisciplinary approach and the use of a nasojejunal feeding tube for rest and healing of the esophagus. The patient recovered well and was asymptomatic at the 6-month follow-up. Medical implications include the possibility of treating esophageal ruptures endoscopically and the need for percutaneous drainage in larger collections. The video concludes that endoscopic suturing and stenting can be effective in managing acute esophageal perforations. A multidisciplinary approach is advised for dealing with Borchow syndrome. No credits are given in the video.

Keywords

endoscopic approach

spontaneous esophageal rupture

Borchow syndrome

endoscopic suturing device

fully covered esophageal stent