Conservative Management of Esophageal Perforations During Pneumatic Dilation for Idiopathic Esophageal Achalasia

Clinical Gastroenterology and Hepatology

Volumn 10, Issue 2, 2012, Pages 142-149

  Vanuytsel, Tim ^a,b   Lerut, Toni ^b   Coosemans, Willy ^b   Vanbeckevoort, Dirk ^b   Blondeau, Kathleen ^a   Boeckxstaens, Guy ^a,b   Tack, Jan ^a,b  

^a UNIVERSITY OF LEUVEN   (Belgium)

^b UNIVERSITY HOSPITALS LEUVEN   (Belgium)

Author keywords

Esophagus; Mortality; Motor Disorder; Treatment

Indexed keywords

ANTIBIOTIC AGENT;

ADULT; AGE DISTRIBUTION; ANTIBIOTIC THERAPY; ARTICLE; BALLOON DILATATION; BELGIUM; BLEEDING; CONSERVATIVE TREATMENT; DEATH; DIET RESTRICTION; ESOPHAGUS ACHALASIA; ESOPHAGUS PERFORATION; ESOPHAGUS PNEUMATIC DILATION; FEASIBILITY STUDY; FEMALE; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDIASTINUM DISEASE; MEDICAL RECORD REVIEW; PATIENT SAFETY; PLEURA EFFUSION; THORAX DRAINAGE; TREATMENT OUTCOME; UNIVERSITY HOSPITAL;

AGE FACTORS; AGED; ANTI-BACTERIAL AGENTS; BELGIUM; DILATATION; ESOPHAGEAL ACHALASIA; ESOPHAGEAL PERFORATION; FEMALE; HUMANS; INCIDENCE; MALE; MIDDLE AGED; RISK FACTORS; SURVIVAL ANALYSIS; TREATMENT OUTCOME;

EID: 84856051418     PISSN: 15423565     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cgh.2011.10.032     Document Type: Article

References (47)

1. Richter J.E. Achalasia: an update. Neurogastroenterol Motil 2010, 16:232-242.
2. Park W., Vaezi M.F. Etiology and pathogenesis of achalasia: the current understanding. Am J Gastroenterol 2005, 100:1404-1414.
3. Reynolds J.C., Parkman H.P. Achalasia. Gastroenterol Clin North Am 1989, 18:223-255.
4. Boeckxstaens G.E. Achalasia: virus-induced euthanasia of neurons?. Am J Gastroenterol 2008, 103:1610-1612.
5. O'Connor J.B., Singer M.E., Imperiale T.F., et al. The cost-effectiveness of treatment strategies for achalasia. Dig Dis Sci 2002, 47:1516-1525.
6. Parkman H.P., Reynolds J.C., Ouyang A., et al. Pneumatic dilatation or esophagomyotomy treatment for idiopathic achalasia: clinical outcomes and cost analysis. Dig Dis Sci 1993, 38:75-85.
7. Vela M.F., Richter J.E., Khandwala F., et al. The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol 2006, 4:580-587.
8. Hulselmans M., Vanuytsel T., Degreef T., et al. Long-term outcome of pneumatic dilation in the treatment of achalasia. Clin Gastroenterol Hepatol 2010, 8:30-35.
9. Karamanolis G., Sgouros S., Karatzias G., et al. Long-term outcome of pneumatic dilation in the treatment of achalasia. Am J Gastroenterol 2005, 100:270-274.
10. Kadakia S.C., Wong R.K. Graded pneumatic dilation using Rigiflex achalasia dilators in patients with primary esophageal achalasia. Am J Gastroenterol 1993, 88:34-38.
11. Katz P.O., Gilbert J., Castell D.O. Pneumatic dilatation is effective long-term treatment for achalasia. Dig Dis Sci 1998, 43:1973-1977.
12. Ciarolla D.A., Traube M. Achalasia: short-term clinical monitoring after pneumatic dilation. Dig Dis Sci 1993, 38:1905-1908.
13. Vantrappen G., Hellemans J. Treatment of achalasia and related motor disorders. Gastroenterology 1980, 79:144-154.
14. Cotton P.B., Eisen G.M., Aabakken L., et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc 2010, 71:446-454.
15. Fennerty M.B. Esophageal perforation during pneumatic dilatation for achalasia: a possible association with malnutrition. Dysphagia 1990, 5:227-228.
16. Nair L.A., Reynolds J.C., Parkman H.P., et al. Complications during pneumatic dilation for achalasia or diffuse esophageal spasm: analysis of risk factors, early clinical characteristics, and outcome. Dig Dis Sci 1993, 38:1893-1904.
17. Metman E.H., Lagasse J.P., d'Alteroche L., et al. Risk factors for immediate complications after progressive pneumatic dilation for achalasia. Am J Gastroenterol 1999, 94:1179-1185.
18. Borotto E., Gaudric M., Danel B., et al. Risk factors of oesophageal perforation during pneumatic dilatation for achalasia. Gut 1996, 39:9-12.
19. Tarnasky P.R., Brazer S.R., Leung J.W. Esophageal perforation during achalasia dilation complicated by esophageal diverticula. Am J Gastroenterol 1994, 89:1583-1585.
20. Sánchez-Pernaute A., Aguirre E.P., Talavera P., et al. Laparoscopic approach to esophageal perforation secondary to pneumatic dilation for achalasia. Surg Endosc 2009, 23:1106-1109.
21. Miller R.E., Tiszenkel H.I. Esophageal perforation due to pneumatic dilation for achalasia. Surg Gynecol Obstet 1988, 166:458-460.
22. Hunt D.R., Wills V.L., Weis B., et al. Management of esophageal perforation after pneumatic dilation for achalasia. J Gastrointest Surg 2000, 4:411-415.
23. Kiernan P.D., Sheridan M.J., Elster E., et al. Thoracic esophageal perforations. South Med J 2003, 96:158-163.
24. Slater G., Sicular A.A. Esophageal perforations after forceful dilatation in achalasia. Ann Surg 1982, 195:186-188.
25. Scatton O., Gaudric M., Massault P.P., et al. Conservative management of esophageal perforation after pneumatic dilatation for achalasia. Gastroenterol Clin Biol 2002, 26:883-887.
26. Cameron J.L., Kieffer R.F., Hendrix T.R., et al. Selective nonoperative management of contained intrathoracic esophageal disruptions. Ann Thorac Surg 1979, 27:404-408.
27. Vogel S.B., Rout W.R., Martin T.D., et al. Esophageal perforation in adults: aggressive, conservative treatment lowers morbidity and mortality. Ann Surg 2005, 241:1016-1021.
28. Boeckxstaens G.E., Annese V., des Varannes S.B., et al. Pneumodilation versus laparoscopic Heller myotomy for idiopathic achalasia. N Engl J Med 2011, 364:1807-1816.
29. Molina E.G., Stollman N., Grauer L., et al. Conservative management of esophageal nontransmural tears after pneumatic dilation for achalasia. Am J Gastroenterol 1996, 91:15-18.
30. Ott D.J., Richter J.E., Wu W.C., et al. Radiographic evaluation of esophagus immediately after pneumatic dilatation for achalasia. Dig Dis Sci 1987, 32:962-967.
31. Pasricha P.J., Fleischer D.E., Kalloo A.N. Endoscopic perforations of the upper digestive tract: a review of their pathogenesis, prevention, and management. Gastroenterology 1994, 106:787-802.
32. Foley M.J., Ghahremani G.G., Rogers L.F. Reappraisal of contrast media used to detect upper gastrointestinal perforations: comparison of ionic water-soluble media with barium sulfate. Radiology 1982, 144:231-237.
33. Sawyer R., Phillips C., Vakil N. Short- and long-term outcome of esophageal perforation. Gastrointest Endosc 1995, 41:130-134.
34. Adamek H.E., Jakobs R., Dorlars D., et al. Management of esophageal perforations after therapeutic upper gastrointestinal endoscopy. Scand J Gastroenterol 1997, 32:411-414.
35. Lyons W.S., Seremetis M.G., deGuzman V.C., et al. Ruptures and perforations of the esophagus: the case for conservative supportive management. Ann Thorac Surg 1978, 25:346-350.
36. Tilanus H.W., Bossuyt P., Schattenkerk M.E., et al. Treatment of oesophageal perforation: a multivariate analysis. Br J Surg 1991, 78:582-585.
37. Hunt D.R., Wills V.L. Laparoscopic Heller myotomy for achalasia. Aust N Z J Surg 2000, 70:582-586.
38. Shaffer H.A., Valenzuela G., Mittal R.K. Esophageal perforation: a reassessment of the criteria for choosing medical or surgical therapy. Arch Intern Med 1992, 152:757-761.
39. Wesdorp I.C., Bartelsman J.F., Huibregtse K., et al. Treatment of instrumental oesophageal perforation. Gut 1984, 25:398-404.
40. D'Cunha J., Rueth N.M., Groth S.S., et al. Esophageal stents for anastomotic leaks and perforations. J Thorac Cardiovasc Surg 2011, 142. 39-46.e1.
41. Bakken J.C., Wong Kee Song L.M., de Groen P.C., et al. Use of a fully covered self expandable metal stent for the treatment of benign esophageal diseases. Gastrointest Endosc 2010, 72:712-720.
42. West R.L., Hirsch D.P., Bartelsman J.F., et al. Long term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol 2002, 97:1346-1351.
43. Mikaeli J., Bishehsari F., Montazeri G., et al. Pneumatic balloon dilatation in achalasia: a prospective comparison of safety and efficacy with different balloon diameters. Aliment Pharmacol Ther 2004, 20:431-436.
44. Ghoshal U.C., Kumar S., Saraswat V.A., et al. Long-term follow-up after pneumatic dilation for achalasia cardia: factors associated with treatment failure and recurrence. Am J Gastroenterol 2004, 99:2304-2310.
45. Guardino J.M., Vela M.F., Connor J.T., et al. Pneumatic dilation for the treatment of achalasia in untreated patients and patients with failed Heller myotomy. J Clin Gastroenterol 2004, 38:855-860.
46. Khan A.A., Shah S.W., Alam A., et al. Sixteen years follow up of achalasia: a prospective study of graded dilatation using Rigiflex balloon. Dis Esophagus 2005, 18:41-45.
47. Zerbib F., Thétiot V., Richy F., et al. Repeated pneumatic dilations as long-term maintenance therapy for esophageal achalasia. Am J Gastroenterol 2006, 101:692-697.