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2019, Number 3-4

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Rev Sanid Milit Mex 2019; 73 (3-4)

Esophageal perforation in laparoscopic surgery of recurrent hiatal hernia resolved with esophageal stent

Candia AF, Candia RRF, López RR, Sampayo CR

Language: Spanish
References: 30
Page: 243-248
PDF size: 252.84 Kb.


ABSTRACT

Introduction: Esophageal perforation during laparoscopic surgery can be a devastating event. Delayed diagnosis and treatment of esophageal perforation affects individuals by increasing morbidity and mortality with a higher risk of developing sepsis. Temporary placement of self-expandable metal stents has largely supplanted surgical therapy in patients with favorable radiographic and clinical characteristics. Case report: This work is about a 62-year-old man, with esophageal perforation during laparoscopic surgery of recurrent hiatal hernia, the man was attended in our service. We decided to use a conservative treatment with self-expanding metallic stent placement, whit extraction of the stent was at seventh week. During this time, septic parameters decreased with excellent indicators of recovery. Conclusion: The diagnosis and treatment are biggest challenges facing surgeons of this infrequent complication. The use of self-expanding coated and recoverable endoesophageal stent for seven weeks is effective and safe in esophageal perforations with late diagnosis.


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