ASGE DDW Videos from Around the World | 2025-A NOVEL MULTI-STEP APPROACH TO MANAGING A COMPLEX ESOPHAGEAL PERFORATION

A NOVEL MULTI-STEP APPROACH TO MANAGING A COMPLEX ESOPHAGEAL PERFORATION

Video Transcription

Video Summary

An 85-year-old man's complex esophageal perforation was managed using a multi-step, non-surgical approach due to his poor health status. Initially, a stent and intercostal drain were used to address the perforation and hydroneumothorax, but the defect persisted. An ingenious endoluminal vacuum therapy, using a makeshift endosponge, was implemented. Despite efforts, the perforation required a TAC and suture device for closure. This technique used tissue anchors and a suture tensioning system to successfully seal the defect. The patient's condition improved without surgical intervention, highlighting innovative methods in managing complex esophageal injuries in high-risk patients.

Asset Subtitle

Sujay Prabhath Dronamraju

Keywords

esophageal perforation

endoluminal vacuum therapy

non-surgical approach

tissue anchors

high-risk patients