ASGE DDW Videos from Around the World | 2024-ESOPHAGEAL LEAK MANAGEMENT USING NASOCAVITY DRAIN AND BANDED FENESTRATED STENT

ESOPHAGEAL LEAK MANAGEMENT USING NASOCAVITY DRAIN AND BANDED FENESTRATED STENT

Video Transcription

Video Summary

Esophageal leaks can lead to severe infections and fistulas, especially in cases of proximal leaks. A 40-year-old male with swallowing difficulty presented with a narrowed esophagus and a parasitogen leak causing a hematoma. A nasocaptive drain was placed to address the issue, using a double-pictal drain with bands instead of sutures for drainage. Follow-up at 7 weeks showed resolution of the paraesophageal cavity without abscess, and the patient was symptom-free. The procedure successfully managed the leak without the need for more invasive interventions like septotomy.

Asset Subtitle

Mayank Goyal

Meta Tag

Concept Esophageal Perforation

Concept Paraesophageal Leak

Concept Proximal Esophagus

Concept Fistula

Concept Drainage

Keywords

Esophageal leaks

severe infections

fistulas

narrowed esophagus

nasocaptive drain

Esophageal Perforation

Paraesophageal Leak

Proximal Esophagus

Fistula

Drainage