ESOPHAGEAL RUPTURES DURING LAPAROSCOPIC UPPER GI OPERATIONS – OUR EXPERIENCE
EAES Academy. Georgopoulos N. 07/05/22; 363156; P201
Nikolaos Georgopoulos
Contributions
Contributions
Abstract
Aim:
Esophageal ruptures pose a rare but demanding clinical entity. The rupture may be spontaneous, traumatic or iatrogenic. Iatrogenic esophageal ruptures present usually during endoscopic procedures of the upper GI, yet, they may occur during upper GI operations as well. This poster presents the management and outcomes of five rare cases of iatrogenic esophageal ruptures during benign upper GI surgery in our department.
Methods:
From 01.01.2004 tp 31.12.2020 129 laparoscopic Nissen procedures and 1105 bariatric operations [623 laparoscopic gastric bandings (LGB), 372 laparoscopic sleeve gastrectomies (LSG) and 110 laparoscopic RY gastric bypasses (LRYGB)] took place in our department. During the aforementioned period, five cases of intraoperative iatrogenic esophageal rupture were found. The cause of the rupture, the management and outcomes were analyzed.
Results:
Out of the five cases, there were four females and one male with average age was 40.4 years old. Four cases concerned the abdominal segment of the esophagus while one the cervical segment. Abdominal esophageal rupture occurred during laparoscopic gastric band fixation and adjustment, during bougie insertion in a LSG, during nasogastric tube insertion into the gastric pouch in a LRYGB and during bougie insertion in a laparoscopic Nissen procedure. All abdominal esophageal ruptures were diagnosed intraoperatively and were primarily sutured. Cervical esophageal rupture occurred during bougie insertion in a laparoscopic Nissen procedure, it was diagnosed in the first postoperative day due to acute thoracic pain during liquid consumption and was managed successfully with surgery along with ENT department contribution.
Conclusion(s): Esophageal rupture during upper GI operations is an uncommon yet lethal complication. It raises the necessity for timely diagnosis and management. Its management may be surgical intraoperatively or early postoperatively.
Esophageal ruptures pose a rare but demanding clinical entity. The rupture may be spontaneous, traumatic or iatrogenic. Iatrogenic esophageal ruptures present usually during endoscopic procedures of the upper GI, yet, they may occur during upper GI operations as well. This poster presents the management and outcomes of five rare cases of iatrogenic esophageal ruptures during benign upper GI surgery in our department.
Methods:
From 01.01.2004 tp 31.12.2020 129 laparoscopic Nissen procedures and 1105 bariatric operations [623 laparoscopic gastric bandings (LGB), 372 laparoscopic sleeve gastrectomies (LSG) and 110 laparoscopic RY gastric bypasses (LRYGB)] took place in our department. During the aforementioned period, five cases of intraoperative iatrogenic esophageal rupture were found. The cause of the rupture, the management and outcomes were analyzed.
Results:
Out of the five cases, there were four females and one male with average age was 40.4 years old. Four cases concerned the abdominal segment of the esophagus while one the cervical segment. Abdominal esophageal rupture occurred during laparoscopic gastric band fixation and adjustment, during bougie insertion in a LSG, during nasogastric tube insertion into the gastric pouch in a LRYGB and during bougie insertion in a laparoscopic Nissen procedure. All abdominal esophageal ruptures were diagnosed intraoperatively and were primarily sutured. Cervical esophageal rupture occurred during bougie insertion in a laparoscopic Nissen procedure, it was diagnosed in the first postoperative day due to acute thoracic pain during liquid consumption and was managed successfully with surgery along with ENT department contribution.
Conclusion(s): Esophageal rupture during upper GI operations is an uncommon yet lethal complication. It raises the necessity for timely diagnosis and management. Its management may be surgical intraoperatively or early postoperatively.
Aim:
Esophageal ruptures pose a rare but demanding clinical entity. The rupture may be spontaneous, traumatic or iatrogenic. Iatrogenic esophageal ruptures present usually during endoscopic procedures of the upper GI, yet, they may occur during upper GI operations as well. This poster presents the management and outcomes of five rare cases of iatrogenic esophageal ruptures during benign upper GI surgery in our department.
Methods:
From 01.01.2004 tp 31.12.2020 129 laparoscopic Nissen procedures and 1105 bariatric operations [623 laparoscopic gastric bandings (LGB), 372 laparoscopic sleeve gastrectomies (LSG) and 110 laparoscopic RY gastric bypasses (LRYGB)] took place in our department. During the aforementioned period, five cases of intraoperative iatrogenic esophageal rupture were found. The cause of the rupture, the management and outcomes were analyzed.
Results:
Out of the five cases, there were four females and one male with average age was 40.4 years old. Four cases concerned the abdominal segment of the esophagus while one the cervical segment. Abdominal esophageal rupture occurred during laparoscopic gastric band fixation and adjustment, during bougie insertion in a LSG, during nasogastric tube insertion into the gastric pouch in a LRYGB and during bougie insertion in a laparoscopic Nissen procedure. All abdominal esophageal ruptures were diagnosed intraoperatively and were primarily sutured. Cervical esophageal rupture occurred during bougie insertion in a laparoscopic Nissen procedure, it was diagnosed in the first postoperative day due to acute thoracic pain during liquid consumption and was managed successfully with surgery along with ENT department contribution.
Conclusion(s): Esophageal rupture during upper GI operations is an uncommon yet lethal complication. It raises the necessity for timely diagnosis and management. Its management may be surgical intraoperatively or early postoperatively.
Esophageal ruptures pose a rare but demanding clinical entity. The rupture may be spontaneous, traumatic or iatrogenic. Iatrogenic esophageal ruptures present usually during endoscopic procedures of the upper GI, yet, they may occur during upper GI operations as well. This poster presents the management and outcomes of five rare cases of iatrogenic esophageal ruptures during benign upper GI surgery in our department.
Methods:
From 01.01.2004 tp 31.12.2020 129 laparoscopic Nissen procedures and 1105 bariatric operations [623 laparoscopic gastric bandings (LGB), 372 laparoscopic sleeve gastrectomies (LSG) and 110 laparoscopic RY gastric bypasses (LRYGB)] took place in our department. During the aforementioned period, five cases of intraoperative iatrogenic esophageal rupture were found. The cause of the rupture, the management and outcomes were analyzed.
Results:
Out of the five cases, there were four females and one male with average age was 40.4 years old. Four cases concerned the abdominal segment of the esophagus while one the cervical segment. Abdominal esophageal rupture occurred during laparoscopic gastric band fixation and adjustment, during bougie insertion in a LSG, during nasogastric tube insertion into the gastric pouch in a LRYGB and during bougie insertion in a laparoscopic Nissen procedure. All abdominal esophageal ruptures were diagnosed intraoperatively and were primarily sutured. Cervical esophageal rupture occurred during bougie insertion in a laparoscopic Nissen procedure, it was diagnosed in the first postoperative day due to acute thoracic pain during liquid consumption and was managed successfully with surgery along with ENT department contribution.
Conclusion(s): Esophageal rupture during upper GI operations is an uncommon yet lethal complication. It raises the necessity for timely diagnosis and management. Its management may be surgical intraoperatively or early postoperatively.
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