Recent advancements in the minimally invasive management of esophageal perforation, leaks, and fistulae

Shirin Siddiqi, Dean P. Schraufnagel, Hafiz Umair Siddiqui, Michael J. Javorski, Adam Mace, Abdulrhman S. Elnaggar, Haytham Elgharably, Patrick R. Vargo, Robert Steffen, Saad M. Hasan, Siva Raja

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Introduction: Historically, the gold standard management of esophageal perforations, leaks, and fistulae has been traditional open surgery, but it is associated with significant morbidity and mortality. Minimally invasive approaches offer alternatives to surgery in treating hemodynamically stable patients with such defects. In this review article, we will discuss the recent advancements in the minimally invasive management of esophageal perforations, leaks, and fistulas. Areas covered: This review includes information from case reports, case series, and clinical trials on minimally invasive management of esophageal perforations, leaks, and fistulas. The focus is on the devices, outcomes, and application of the technology. Expert commentary: Minimally invasive treatment represents significant progress in the management of esophageal perforations, leaks, and fistulas. Based on current evidence, it seems safe and effective but it is evolving and more studies are needed to help draw definitive conclusions.

Original languageEnglish (US)
Pages (from-to)197-209
Number of pages13
JournalExpert Review of Medical Devices
Volume16
Issue number3
DOIs
StatePublished - Mar 4 2019

All Science Journal Classification (ASJC) codes

  • Surgery
  • Biomedical Engineering

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