Spontaneous Perforation of a Peptic Esophageal Stricture
Surgical interventions for intractable and unamenable for dilatation peptic esophageal strictures could sometimes be difficult and challenging. Esophageal perforation management depends on many factors such as underlying esophageal disease, location and cause of perforation, age, overall condition,...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2020-11-01
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| Series: | Acta Medica Bulgarica |
| Subjects: | |
| Online Access: | https://doi.org/10.2478/amb-2020-0044 |
| _version_ | 1818692103881883648 |
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| author | Yankov G. Yamakova Y. Vladimirov B. Mekov E. Kovacheva M. Abedinov F. Petkov R. |
| author_facet | Yankov G. Yamakova Y. Vladimirov B. Mekov E. Kovacheva M. Abedinov F. Petkov R. |
| author_sort | Yankov G. |
| collection | DOAJ |
| description | Surgical interventions for intractable and unamenable for dilatation peptic esophageal strictures could sometimes be difficult and challenging. Esophageal perforation management depends on many factors such as underlying esophageal disease, location and cause of perforation, age, overall condition, comorbidities, and time from perforation to presentation. Of great importance for the selection of technique is whether the esophagus is normal and it is worthwhile trying not to remove it or whether it is pathologically changed and it is reasonable to proceed with resection during the initial intervention. We present a patient who has undergone surgery several times in another hospital for perforation of peptic stricture in the distal part of the esophagus and esophageal diversion in its proximal part. Three months later, he was admitted to the Thoracic Surgery Department and resection of the excluded esophagus followed by thoracic duct ligation for chylothorax was performed. After another three months, retrosternal colon replacement and subsequent removal of the gastrostomy were performed. |
| first_indexed | 2024-12-17T12:52:28Z |
| format | Article |
| id | doaj.art-941421ecb9d540998b59cce21143c126 |
| institution | Directory Open Access Journal |
| issn | 0324-1750 |
| language | English |
| last_indexed | 2024-12-17T12:52:28Z |
| publishDate | 2020-11-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Acta Medica Bulgarica |
| spelling | doaj.art-941421ecb9d540998b59cce21143c1262022-12-21T21:47:34ZengSciendoActa Medica Bulgarica0324-17502020-11-01474444710.2478/amb-2020-0044Spontaneous Perforation of a Peptic Esophageal StrictureYankov G.0Yamakova Y.1Vladimirov B.2Mekov E.3Kovacheva M.4Abedinov F.5Petkov R.6Department of Pulmonary Diseases, Medical Faculty, Medical University – Sofia, BulgariaDepartment of Anesthesiology and Intensive Care, Medical Faculty, Medical University – Sofia, BulgariaDepartment of Gastroenterology, Medical Faculty, Medical University – Sofia, BulgariaDepartment of Pulmonary Diseases, Medical Faculty, Medical University – Sofia, BulgariaDepartment of Gastroenterology, Medical Faculty, Medical University – Sofia, BulgariaDepartment of Anesthesiology and Intensive Care, Medical Faculty, Medical University – Sofia, BulgariaDepartment of Pulmonary Diseases, Medical Faculty, Medical University – Sofia, BulgariaSurgical interventions for intractable and unamenable for dilatation peptic esophageal strictures could sometimes be difficult and challenging. Esophageal perforation management depends on many factors such as underlying esophageal disease, location and cause of perforation, age, overall condition, comorbidities, and time from perforation to presentation. Of great importance for the selection of technique is whether the esophagus is normal and it is worthwhile trying not to remove it or whether it is pathologically changed and it is reasonable to proceed with resection during the initial intervention. We present a patient who has undergone surgery several times in another hospital for perforation of peptic stricture in the distal part of the esophagus and esophageal diversion in its proximal part. Three months later, he was admitted to the Thoracic Surgery Department and resection of the excluded esophagus followed by thoracic duct ligation for chylothorax was performed. After another three months, retrosternal colon replacement and subsequent removal of the gastrostomy were performed.https://doi.org/10.2478/amb-2020-0044peptic strictureesophageal perforationesophageal resectionesophageal diversioncolon replacement |
| spellingShingle | Yankov G. Yamakova Y. Vladimirov B. Mekov E. Kovacheva M. Abedinov F. Petkov R. Spontaneous Perforation of a Peptic Esophageal Stricture Acta Medica Bulgarica peptic stricture esophageal perforation esophageal resection esophageal diversion colon replacement |
| title | Spontaneous Perforation of a Peptic Esophageal Stricture |
| title_full | Spontaneous Perforation of a Peptic Esophageal Stricture |
| title_fullStr | Spontaneous Perforation of a Peptic Esophageal Stricture |
| title_full_unstemmed | Spontaneous Perforation of a Peptic Esophageal Stricture |
| title_short | Spontaneous Perforation of a Peptic Esophageal Stricture |
| title_sort | spontaneous perforation of a peptic esophageal stricture |
| topic | peptic stricture esophageal perforation esophageal resection esophageal diversion colon replacement |
| url | https://doi.org/10.2478/amb-2020-0044 |
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