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Esophageal Perforations: An Endoscopic Approach to Management

  • Esophagus (J Clarke and N Ahuja, Section Editors)
  • Published:
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Abstract

Purpose of Review

Esophageal perforations are associated with high morbidity and mortality. As opposed to surgical repair, endoscopic closure techniques have emerged over the years as a more minimally invasive approach for management. Our goal is to discuss different modalities for closure.

Recent Findings

Through-the-scope clips (TTSCs), over-the-scope clips (OTSCs), and esophageal stent placement are well known options for closure. We will also discuss the more recent technique of endoscopic suturing for closure of larger defects as well as prevention of esophageal stent migration. For mediastinal collections associated with perforations, a more novel endoluminal vacuum therapy (EVT) for drainage may be an option.

Summary

Overall, there are several different endoscopic options that can tailored to the specific features of an esophageal perforation. This review will discuss various techniques with which a gastroenterologist or thoracic surgeon should be familiar.

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Authors and Affiliations

  1. Section on Gastroenterology, Wake Forest Baptist Health Medical Center, Medical Center Boulevard, Winston-Salem, NC, 27157, USA

    Shelly Gurwara & Steven Clayton

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  1. Shelly Gurwara
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Correspondence to Shelly Gurwara.

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Shelly Gurwara and Steven Clayton declare no conflict of interest.

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Gurwara, S., Clayton, S. Esophageal Perforations: An Endoscopic Approach to Management. Curr Gastroenterol Rep 21, 57 (2019). https://doi.org/10.1007/s11894-019-0730-5

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