| Title |
Delayed perforation after endoscopic submucosal dissection treated successfully by temporary stent placement
|
|---|---|
| Published in |
Clinical Journal of Gastroenterology, December 2017
|
| DOI | 10.1007/s12328-017-0808-2 |
| Pubmed ID | |
| Authors |
Masami Omae, Magnus Konradsson, Francisco Baldaque-Silva |
| Abstract |
A 71-year-old male patient with a long-segment (C10M12) Barrett's esophagus harboring multifocal high-grade dysplasia was referred to our clinic. After a multidisciplinary team conference and the patient's informed consent, an endoscopic submucosal dissection (ESD) was performed with resection of 4/5 of the esophageal circumference along 12 cm, without any complications during or immediately after the procedure. In the day after the ESD, the patient presented suddenly with dyspnea and subcutaneous emphysema in the neck and chest. A computed tomography (CT) showed subcutaneous emphysema in the neck and pneumomediastinum, confirming the diagnosis of delayed perforation. There was gradual progression into respiratory failure with the need for ventilatory support. Endoscopic treatment was decided and 2 fully covered self-expandable metal stents were deployed in the esophagus. Patient's clinical condition improved and oral diet was resumed at day 7. Stents were retrieved at day 12 and there were no strictures on the 2 and 6-month follow-ups. This is the first report of delayed perforation after endoscopic submucosal disection in the esophagus that was successfully managed with endoscopic therapy. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 17 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 5 | 29% |
| Student > Master | 4 | 24% |
| Researcher | 2 | 12% |
| Professor | 1 | 6% |
| Student > Ph. D. Student | 1 | 6% |
| Other | 1 | 6% |
| Unknown | 3 | 18% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 6 | 35% |
| Nursing and Health Professions | 5 | 29% |
| Decision Sciences | 1 | 6% |
| Sports and Recreations | 1 | 6% |
| Unknown | 4 | 24% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 July 2018.
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#20,525,274
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Outputs from Clinical Journal of Gastroenterology
#221
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#375,345
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Outputs of similar age from Clinical Journal of Gastroenterology
#8
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