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KMID : 0931320210210040333
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대한상부위장관.헬리코박터학회지
2021 Volume.21 No. 4 p.333 ~ p.338
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Endoscopic Vacuum-assisted Closure in a Patient with an Overtube-induced Esophageal Perforation
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Kim Yu-Ri
Kang Seok-In
Ahn Ji-Yong
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Abstract
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An esophageal perforation is one of the most fatal clinical events, with a mortality rate of up to 21%. This may arise postoperatively or post-endoscopically. In the past, surgical treatment, such as an esophagectomy, was performed these cases. However, the procedure was challenging and had a high risk of postoperative complications. Recently, advancements in endoscopic techniques have been made, and endoscopic procedures became a common treatment modality for patients with esophageal perforation, even in those with underlying diseases. Among the endoscopic procedures, endoscopic vacuum-assisted closure (E-VAC) has been known to be safe and effective. We present the case of a 64-year-old female with advanced liver cirrhosis and an overtube-induced esophageal perforation during esophageal variceal ligation. She was successfully treated with E-VAC.
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KEYWORD
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Endoscopy, Esophageal perforation, Negative-pressure wound therapy
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