JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chambers, A. S.
Right arrow Articles by Kiev, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chambers, A. S.
Right arrow Articles by Kiev, J.
Related Collections
Right arrow Esophagus - other

J Thorac Cardiovasc Surg 2005;130:1470-1471
© 2005 The American Association for Thoracic Surgery

Brief Communication

A new management approach for esophageal perforation

Andria S. Chambers, BS * , Terri Jordan, RN, ACNP, Tim McGranahan, RN, ACNP, Jon Kiev, MD

Department of Surgery, Division of Thoracic Surgery, Virginia Commonwealth University, Richmond, Va.

Received for publication March 17, 2005; revisions received April 16, 2005; accepted for publication May 2, 2005.

* Address for reprints: Andria Chambers or Jon Kiev, MD, West Hospital, 1200 E Broad St., 7th Floor, South Wing, Richmond, VA 23298. (Email: chambersas@mail2.vcu.edu; JKIEV@VCU.EDU).

The first 20% of the full text of this article appears below.

We present the case of a 40-year-old man with spontaneous esophageal perforation following an episode of ethanol intoxication. The diagnosis of perforation was delayed due to refusal of intervention. Endoscopic examination of the upper part of the esophagus revealed the tear above the gastroesophageal junction. A Polyflex self-expanding coated stent (Willy Ruesch GMBH, Kernen, Germany) was placed, isolating and sealing the area of perforation and restoring esophageal continuity. A left thoracoscopy was performed to drain and debride the mediastinum. The patient was discharged eating a regular diet and the Polyflex stent was removed 1 month later.

This case is unique because a combined minimally invasive approach was used to manage a complex potentially fatal surgical emergency, which was previously handled through open thoracotomy. Because we combined video-assisted thoracic surgery and upper esophageal endoscopy, the patient . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2005 by The American Association for Thoracic Surgery.