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,...

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Autores principales:	Yankov G., Yamakova Y., Vladimirov B., Mekov E., Kovacheva M., Abedinov F., Petkov R.
Formato:	article
Lenguaje:	EN
Publicado:	Sciendo 2020
Materias:	peptic stricture esophageal perforation esophageal resection esophageal diversion colon replacement Medicine R
Acceso en línea:	https://doaj.org/article/941421ecb9d540998b59cce21143c126
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spelling	oai:doaj.org-article:941421ecb9d540998b59cce21143c1262021-12-02T17:55:13ZSpontaneous Perforation of a Peptic Esophageal Stricture0324-175010.2478/amb-2020-0044https://doaj.org/article/941421ecb9d540998b59cce21143c1262020-11-01T00:00:00Zhttps://doi.org/10.2478/amb-2020-0044https://doaj.org/toc/0324-1750Surgical 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.Yankov G.Yamakova Y.Vladimirov B.Mekov E.Kovacheva M.Abedinov F.Petkov R.Sciendoarticlepeptic strictureesophageal perforationesophageal resectionesophageal diversioncolon replacementMedicineRENActa Medica Bulgarica, Vol 47, Iss 4, Pp 44-47 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	peptic stricture esophageal perforation esophageal resection esophageal diversion colon replacement Medicine R
spellingShingle	peptic stricture esophageal perforation esophageal resection esophageal diversion colon replacement Medicine R Yankov G. Yamakova Y. Vladimirov B. Mekov E. Kovacheva M. Abedinov F. Petkov R. Spontaneous Perforation of a Peptic Esophageal Stricture
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.
format	article
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.
title	Spontaneous Perforation of a Peptic Esophageal Stricture
title_short	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_sort	spontaneous perforation of a peptic esophageal stricture
publisher	Sciendo
publishDate	2020
url	https://doaj.org/article/941421ecb9d540998b59cce21143c126
work_keys_str_mv	AT yankovg spontaneousperforationofapepticesophagealstricture AT yamakovay spontaneousperforationofapepticesophagealstricture AT vladimirovb spontaneousperforationofapepticesophagealstricture AT mekove spontaneousperforationofapepticesophagealstricture AT kovachevam spontaneousperforationofapepticesophagealstricture AT abedinovf spontaneousperforationofapepticesophagealstricture AT petkovr spontaneousperforationofapepticesophagealstricture
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Spontaneous Perforation of a Peptic Esophageal Stricture

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