ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC MANAGEMENT OF A MASSIVE ESOPHAGEAL PERFORATION FOLLOWING PNEUMATIC DILATION

ENDOSCOPIC MANAGEMENT OF A MASSIVE ESOPHAGEAL PERFORATION FOLLOWING PNEUMATIC DILATION

Video Transcription

Video Summary

After a mucosal tear was noted during an attempted esophageal balloon dilation, a contained leak in the esophagus was detected. The patient underwent endoscopic closure using an over-the-scope suturing device and clips for a large perforation. Post-procedure, a covered metal stent was placed to reduce pressure and aid healing. Repeat procedures were conducted to address persistent defects, with successful closure achieved through extensive suturing. The patient recovered well without requiring further procedures. This case illustrates the efficacy of endoscopic therapy for complex esophageal defects, emphasizing the importance of early intervention and enteral feeding.

Asset Subtitle

Ikechukwu Achebe

Meta Tag

Concept Iatrogenic Esophageal Perforation

Concept Esophageal Perforation

Concept Esophageal Dilation

Concept Contrast Leak

Concept Capnomediastinum

Keywords

mucosal tear

esophageal balloon dilation

esophagus leak

over-the-scope suturing device

endoscopic therapy

Iatrogenic Esophageal Perforation

Esophageal Perforation

Esophageal Dilation

Contrast Leak

Capnomediastinum