Tissue glue: a potential role in the management of intraoperative oesophageal perforation

Ranjan, Sushil Rodrigues; Majumdar, Samit; Manickavasagam, Jaiganesh und Flach, Susanne (2020): Tissue glue: a potential role in the management of intraoperative oesophageal perforation. In: BMJ Case Reports, Bd. 13, Nr. 7, e232568

Abstract

An 85-year-old man suffering from oropharyngeal dysphagia due to a pharyngeal pouch and cricopharyngeal spasm underwent endoscopic stapling of the pouch under general anaesthesia. During the procedure, an iatrogenic perforation of the oesophagus was noticed. After considering several options, 5mL of Tisseel tissue glue was used to seal the perforation intraoperatively. The patient was started on intravenous co-amoxiclav, kept nil by mouth and fed via a nasogastric tube. After 4days of observation mediastinal collection and any leakage was ruled out with a gastrografin contrast swallow procedure. At this point he was considered safe for oral intake.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• Sprache: Englisch