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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Expandable stents for iatrogenic perforation of esophageal malignancies
Journal of Gastrointestinal Surgery, Volume 7, No. 6, Year 2003
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Description
The management of patients with iatrogenic perforation of esophageal cancers is controversial. We reviewed the management of perforated esophageal malignancies at a single institution with a large volume of patients with esophageal cancer. Cases of iatrogenic perforation of the esophagus occurring during a 3-year period were identified from the hospital endoscopy database. Inpatient and outpatient records were reviewed, and subjects were visited to obtain follow-up information. Perforation was suspected after 10 of 492 endoscopic dilatation procedures done in patients with obstructing esophageal malignancies. All patients were diagnosed immediately. One patient with pneumomediastinum and pneumoperitoneum died 7 days after laparotomy. Nine patients with pneumomediastinum were managed endoscopically with delayed (n = 1) or immediate (n = 8) placement of a self-expanding metal stent. Patients were treated in the hospital for an average of 5.4 days. No patients developed clinical signs of sepsis, and all were discharged tolerating a soft diet. Follow-up data were obtained for seven of nine discharged patients (range 152 to 263 days). None developed signs or symptoms of infection or recurrent dysphagia. Immediate placement of a coated self-expanding metal stent is an effective treatment for iatrogenic perforation of an obstructing esophageal malignancy. © 2003 The Society for Surgery of the Alimentary Tract, Inc.
Authors & Co-Authors
White, Russell E.
Kenya, Bomet
Tenwek Hospital
Mungatana, Caesar K.
Kenya, Bomet
Tenwek Hospital
Topazian, Mark D.
United States, New Haven
Yale School of Medicine
Rege, Robert V.
Unknown Affiliation
Statistics
Citations: 51
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1016/S1091-255X(03)00064-7
ISSN:
1091255X
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study