Successful closure of a complicated duodenal ulcer perforation with an expandable esophageal stent

Laparotomy and reoperation remain the standard procedures for patients with suture line disruption after the initial surgical treatment for duodenal ulcer perforation has failed. Recently, endoscopic stents have been employed for dehiscence of the suture line after a surgical repair or even as a pri...

Full description

Saved in:
Bibliographic Details
Published in:Asian journal of endoscopic surgery 2019-07, Vol.12 (3), p.326-328
Main Authors: Stavrou, George, Rafailidis, Vasileios, Diamantidou, Anna, Kouskouras, Constantinos, Michalopoulos, Antonios, Kotzampassi, Katerina
Format: Article
Language:English
Subjects:
Aged, 80 and over
Duodenal
Duodenal Ulcer - etiology
Duodenal Ulcer - surgery
Endoscopy
Female
Humans
Peptic Ulcer Perforation - etiology
Peptic Ulcer Perforation - surgery
perforation
Reoperation
stent
Stents
Surgical Wound Dehiscence - etiology
Surgical Wound Dehiscence - surgery
Suture Techniques - adverse effects
Ulcers
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Laparotomy and reoperation remain the standard procedures for patients with suture line disruption after the initial surgical treatment for duodenal ulcer perforation has failed. Recently, endoscopic stents have been employed for dehiscence of the suture line after a surgical repair or even as a primary treatment. We present such a case, the fourth in the literature. In this case, a partially covered stent was placed to cover the duodenal perforation opening after an unsuccessful stitching 6 days earlier. We discuss the difficulties in stent positioning, the choice of sealant, and possible complications. Overall, for older patients with comorbidities, endoscopic stent placement could be considered a promising alternative minimally invasive treatment.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12642