Endoluminal vacuum therapy in the management of an esophago-pleural fistula as a complication of Boerhaave syndrome in a patient with eosinophilic esophagitis.
- Resource Type
- journal article
- Authors
- Tuñon, Carlos; De Lucas, Juan; Cubilla, Jan; Andrade, Rafael; Aguirre, Miguel; Zúñiga Cisneros, Julio
- Source
- BMC Gastroenterology. 12/20/2021, Vol. 21 Issue 1, p1-8. 8p.
- Subject
- *EOSINOPHILIC esophagitis
*ESOPHAGUS diseases
*FISTULA
*ESOPHAGEAL perforation
*SYNDROMES
*GRANULATION tissue
*FERRANS & Powers Quality of Life Index
*MEDIASTINUM diseases
*NEGATIVE-pressure wound therapy
- Language
- ISSN
- 1471-230X
Background: Boerhaave syndrome is an uncommon condition that represents about 15% of all esophageal perforation. A subset of these patients has eosinophilic esophagitis, a chronic inflammatory disease of the esophagus, that carries a risk of perforation of about 2%. Esophageal perforations can rarely result in the development of an esophago-pleural fistula. Treatment of esophago-pleural fistula represent a challenge due to lack of high quality evidence and scarce reported experience. Endoluminal vacuum-assisted therapy could have a role in the management by using the same principle applied in external wounds which provide wound drainage and tissue granulation.Case Presentation: We report a unique case of a 24-year-old man with eosinophilic esophagitis complicated with an esophageal rupture who developed an esophago-pleural fistula and was successfully managed with a non-surgical approach using endoluminal vacuum-assisted therapy. To our knowledge this could be the first experience reported in a patient with eosinophilic esophagitis.Conclusion: Endoluminal vacuum-assisted therapy might be an effective and novel strategy in patients with eosinophilic esophagitis and esophago-pleural fistula as a consequence of Boerhaave syndrome. Appropriately designed studies are required. [ABSTRACT FROM AUTHOR]