Endoscopic Management Of Iatrogenic Esophageal Perforation After Laparoscopic Upper Gastrointestinal Surgery
Iatrogenic Esophageal Perforation
About this trial
This is an interventional treatment trial for Iatrogenic Esophageal Perforation focused on measuring stent, endoscopy , esophagus , iatrogenic injury
Eligibility Criteria
Inclusion Criteria: Patients with Iatrogenic Esophageal Perforation after Laparoscopic Upper Gastrointestinal Surgery failued conservative meaures . patient with good general condition (ASA I&II). - Exclusion Criteria: We excluded patients who bad general condition (ASAIII&IV&V), respond to conservative measures.
Sites / Locations
- Zagazig University Hospitals
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
group (1) endoscopic group
group (2) surgical group
For patients in EG, we began with assessment of the site & size of perforation . In this study, In this study, we used a fully covered stent (Mega stent, Taewoong Medical Industries, Gyeonggi-do, South Korea) ultra large and long (length: 24 cm, diameter: 36 mm) stent. We did not experience any complication with Mega stent, particularly migration, thanks to the design of Mega stent that fits well for the post-sleeve anatomy with reduction of migration. Concurrently, the interventional radiology team subcutaneously drained the intraperitoneal free fluid using 2 intra-peritoneal tubes that were placed under US guidance in the sub-hepatic region and in the pelvis
surgical repair of perforation after adequate drainage