UPPER IATROGENIC ESOPHAGEAL PERFORATION SUCCESSFULLY TREATED BY THE “COVER” TECHNIQUE WITH ANCHORING SUTURE: A MINI-INVASIVE SOLUTION IN A “TROUBLESOME” LOCATION

A Granata; M Amata; D Ligresti; A Bertani; L De Monte; A Martino; M Traina

doi:10.1055/s-0040-1704819

Endoscopy, Table of Contents

Endoscopy 2020; 52(S 01): S261
DOI: 10.1055/s-0040-1704819

ESGE Days 2020 ePoster presentations

Thursday, April 23, 2020 09:00 – 17:00 Clinical endoscopic practice ePoster area

UPPER IATROGENIC ESOPHAGEAL PERFORATION SUCCESSFULLY TREATED BY THE “COVER” TECHNIQUE WITH ANCHORING SUTURE: A MINI-INVASIVE SOLUTION IN A “TROUBLESOME” LOCATION

Authors

A Granata

¹ISMETT – IRCCS – UPMC ITAY, Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, Palermo, Italy
M Amata

¹ISMETT – IRCCS – UPMC ITAY, Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, Palermo, Italy
D Ligresti

¹ISMETT – IRCCS – UPMC ITAY, Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, Palermo, Italy
A Bertani

²ISMETT – IRCCS – UPMC ITAY, Thoracic Surgery, Department of Diagnostic and Therapeutic Services, Palermo, Italy
L De Monte

²ISMETT – IRCCS – UPMC ITAY, Thoracic Surgery, Department of Diagnostic and Therapeutic Services, Palermo, Italy
A Martino

¹ISMETT – IRCCS – UPMC ITAY, Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, Palermo, Italy
M Traina

¹ISMETT – IRCCS – UPMC ITAY, Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, Palermo, Italy

Abstract

Full Text

71-year-old woman was referred to our Institute for metachronous neoplastic nodule in the upper-right pulmonary lobe. Following two complex selective orotracheal intubations, the patient underwent complete VATS right upper lobectomy. After 48-hours, patient developed dysphagia. Endoscopy showed a 40-mm longitudinal esophageal laceration 2 cm under the cricoid ring. After the failure of subsequent surgical and endoscopic revisions with clips, FC-SEMS placement with anchoring single-sutures using the OverStitch Endoscopic Suturing System was effectively performed although the too-close location to cricoid ring. After 2 months, stent was removed using a flexiblefully-rotatable endoscopic scissors (Ensizor Flex). At 6-month follow-up, the patient remained asymptomatic.