Video Tip: Esophageal Stricture Dilation | August 2021-Esophageal Stricture Dilation

Video Transcription

Video Summary

The video discusses the management of esophageal perforation. The speaker suggests closing the perforation with an Ovesco or Eclipse clip, which can be challenging, especially if the patient is not under general anesthesia. Antibiotics should be given if the perforation cannot be closed, and a CT scan with oral contrast should be performed to confirm the extent of the perforation. Painkillers are recommended, and the surgical team should be involved as soon as possible. Options for suctioning secretions include a nasogastric tube or a nasoesophageal tube. The patient must refrain from eating or drinking. The patient will stay in the hospital for at least seven days and antibiotics should be taken for the same duration. A repeat CT scan with oral contrast is needed to check if the perforation has healed. The patient should be regularly assessed by healthcare professionals and may require broad-spectrum antibiotic coverage. There is a debate regarding the placement of a stent, and the decision should be made in consultation with the surgeon. The speaker mentioned that their hospital does not place stents in such cases.

Keywords

esophageal perforation management

Ovesco clip

Eclipse clip

antibiotics

CT scan with oral contrast