FIRST EXPERIENCE OF USING ENDOSCOPIC VACUUM-ASSISTED AND ASPIRATION THERAPY IN THE TREATMENT OF SPONTANEOUS RUPTURE OF THE ESOPHAGUS (BOERHAAVE SYNDROME)
https://doi.org/10.12737/article_5955e6b6c99c01.60168585
Abstract
The aim of the article is to demonstrate the possibilities of minimally invasive surgery in the treatment of spontaneous rupture of the esophagus (Boerhaave syndrome). Within the last 10 years endoscopic treatment has changed the approach to the esophageal rupture treatment. Implantation of fully-covered self-expanding metal or plastic stents is the most extensively studied endoscopic method, and it has proven to be effective in 67-100 % of cases. The successful closure of esophageal rupture by endoscopic placement of a vacuum sponge (endoscopic vacuum assisted closure (E-VAC)) has recently been reported. Vacuum-assisted closure (VAC) is an established treatment modality for extensive cutaneous infected wounds. This principle has been adapted to the treatment of endoscopically accessible upper gastrointestinal leakages by endoscopic placing of sponges connected with a drainage tube in the necrotic cavities (E-VAC).
About the Authors
V. B. Rinchinov
N.A. Semashko Republic Clinical Hospital
Russian Federation
Russian Federation
A. N. Plekhanov
Buryat State University; Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation
Russian Federation
B. D. Tsibikdorzhiev
N.A. Semashko Republic Clinical Hospital
Russian Federation
Russian Federation
T. V. Sultumov
N.A. Semashko Republic Clinical Hospital
Russian Federation
Russian Federation
A. K. Gavrilova
N.A. Semashko Republic Clinical Hospital
Russian Federation
Russian Federation
References
1. Завгороднев С.В. Спонтанный разрыв грудного отдела пищевода, осложнённый гнойным медиасти-нитом, двусторонним гидропневмотораксом, эмпиемой плевры и бронхиальным свищом // Хирургия. Журнал им. Н.И. Пирогова. - 2007. - № 4. - С. 54-56
2. Корымасов Е.А., Бенян А.С. Спонтанный разрыв пищевода, осложнённый гнойным медиастинитом и сепсисом // Хирургия. Журнал им. Н.И. Пирогова. - 2011. - № 1. - С. 70-71
3. Кочуков В.П. Спонтанный разрыв пищевода (синдром Бурхаве) // Хирургия. Журнал им. Н.И. Пирогова. - 2012. - № 7. - С. 83-84
4. Тимербулатов В.М., Тимербулатов Ш.В. Спонтанный разрыв пищевода // Грудная и сердечно-сосудистая хирургия. - 2009. - № 2. - С. 34-37
5. Черноусов А.Ф., Богопольский П.М, Курбанов Ф.С. Хирургия пищевода. - М.: Медицина, 2000. -352 c
6. Шестюк А.М. Проникающие повреждения грудного отдела пищевода: современное состояние проблемы // Новости хирургии. - 2010. - Т. 18, № 3. -С. 129-137
7. Ben-David K. (2011). Minimally invasive treatment of esophageal perforation using a multidisciplinary treatment algorithm: a case series. Endoscopy, 43 (2), 160-162.
8. Chen Y.H. (2012). Comparative study of esophageal stent and feeding gastrostomy jejunostomy for tracheoesophageal fistula caused by esophageal squamous cell carcinoma. PLoS One, 7 (8), 47-76.
9. Ivatury R.R. (2014).Oesophageal injuries: position paper. World J. Emerg. Surg., 9 (1), 9-10.
10. Kelechi E., Emeka B. (2012). Is oesophagectomy or conservative treatment for delayed benign oesophageal perforation the better option? Interact. Cardiovasc. Thorac. Surg., 10, 509-511.
11. Mennigen R. (2014). Novel treatment options for perforations of the upper gastrointestinal tract: Endoscopic vacuum therapy and over-the-scope clips. World J. Gastroenterol., 20 (24), 7767-7776.
12. Soreide J.A., Viste A. (2011). Esophageal perforation: diagnostic workup and clinical decisionmaking in the first 24 hours. Scand. J. Trauma Resusc. Emerg. Med., 19 (1), 66-89.
13. Wahed S. (2014). Spectrum of esophageal perforations and their influence on management. Br. J. Surg., 101 (1), 156-162.
Review
For citations:
Rinchinov V.B., Plekhanov A.N., Tsibikdorzhiev B.D., Sultumov T.V., Gavrilova A.K. FIRST EXPERIENCE OF USING ENDOSCOPIC VACUUM-ASSISTED AND ASPIRATION THERAPY IN THE TREATMENT OF SPONTANEOUS RUPTURE OF THE ESOPHAGUS (BOERHAAVE SYNDROME). Acta Biomedica Scientifica. 2017;2(1):136-140. (In Russ.) https://doi.org/10.12737/article_5955e6b6c99c01.60168585
Views:
833
Email this article 
