Successful Endoscopic Vacuum-Assisted Closure Therapy for Esophageal Perforation: A Case Report
- Author:
Jung HUH
1
;
Jinsun YANG
;
Seung Joo KANG
;
Hyoun Woo KANG
;
Hyeon Jong MOON
;
Su Hwan KIM
;
Bokyung KIM
;
Ji Won KIM
;
Kook Lae LEE
;
Yong Won SEONG
;
Kwang Woo KIM
Author Information
- Publication Type:Case Report
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2024;24(2):187-192
- CountryRepublic of Korea
- Language:EN
- Abstract: Esophageal perforation can lead to serious complications, and rapid diagnosis and treatment significantly affect the prognosis. Endoscopic vacuum-assisted closure (EndoVAC) therapy is widely accepted as a safe, well-tolerated, effective, versatile and practical procedure for the management of esophageal perforation in selected patients. We report the successful use of EndoVAC therapy for management of an esophageal perforation secondary to foreign body removal. A 56-year-old man presented to the emergency department for evaluation of chest pain after swallowing the plastic shell of a pill. Emergency endoscopy revealed an esophageal wall laceration (approximately 3 cm) and microperforation. The esophageal laceration and microperforation were limited to the mid-esophagus. The patient underwent EndoVAC therapy, which was repeated every 3–4 days for a total of six sessions over a period of 21 days. We observed improvement in the esophageal injury with granulation tissue formation during the fifth session. Subsequent follow-up evaluation, including esophagography and chest computed tomography confirmed complete healing of the esophageal injury. Following resumption of diet, the patienton a was discharged without any complications.
