ASGE International Sampler (On-Demand) | 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

Keywords

esophageal tear

endoscopic closure

covered metal stent

suturing device

early intervention