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Congress: ECR25
Poster Number: C-22266
Type: Poster: EPOS Radiologist (educational)
Authorblock: M. Sidiropoulou, M. Poupi, M. Adamopoulou, A. Gkana, A. Papadopoulou, O. Giouleme, K. Ballas, A. Anastasiou; Thessaloniki/GR
Disclosures:
Maria Sidiropoulou: Nothing to disclose
Maria Poupi: Nothing to disclose
Marina Adamopoulou: Nothing to disclose
Androniki Gkana: Nothing to disclose
Anna Papadopoulou: Nothing to disclose
Olga Giouleme: Nothing to disclose
Konstantinos Ballas: Nothing to disclose
Athanasia Anastasiou: Nothing to disclose
Keywords: Abdomen, CT, Fluoroscopy, Contrast agent-oral, Endoscopy, Cancer
Learning objectives We present the imaging approach to adult patients with esophageal perforation or leak treated with E-Vac and their outcomes.
Read more Background E-Vac is a minimally invasive treatment option after esophageal perforation or post-operative esophageal anastomotic leaks, two life-threatening conditions with high mortality rates.We retrospectively studied esophagograms with oral contrast medium and MDCT scans of adult patients who were managed in our hospital with E-Vac placement for post-surgery esophageal leaks, iatrogenic injury, and perforation after Boerhaave’s syndrome in the last three years. Correlation with endoscopic findings was documented.
Read more Findings and procedure details Esophageal perforation and leakage is a serious and potentially life-threatening medical emergency with varying etiologies (Figure 1) and clinical presentations. Thoracic esophageal perforations are the most common (72.6%), followed by cervical (15.2%), and abdominal (12.5%). PRESENTING CLINICAL SIGNS AND SYMPTOMS Pain is the most common presenting feature, present in about 80% of cases, usually referring directly to the site of perforation. In cervical perforation, there may be pain in the neck with neck stiffness, whereas thoracic perforation may present with severe...
Read more Conclusion E-Vac is a minimally invasive treatment technique for esophageal perforation and anastomotic leak, with very promising results due to its rapid healing process and minimal secondary side effects. Its application is growing rapidly and doesn’t require complicated equipment. Imaging data in the literature is limited, therefore further research in this field is required.
Read more References   Kaman L, Iqbal J, Kundil B, Kochhar R. Management of Esophageal Perforation in Adults. Gastroenterology Res. 2010 Dec;3(6):235-244. doi: 10.4021/gr263w. Epub 2010 Nov 20. PMID: 27942303; PMCID: PMC5139851. Rubesin SE, Levine MS. Radiologic diagnosis of gastrointestinal perforation. Radiol Clin North Am. 2003 Nov;41(6):1095-115, v. doi: 10.1016/s0033-8389(03)00100-3. PMID: 14661660. Knipe H, Ashraf A, Elfeky M, et al. Esophageal perforation. Reference article, Radiopaedia.org (Accessed on 23 Dec 2024) https://doi.org/10.53347/rID-26147 Khaitan PG, Famiglietti A, Watson TJ. The Etiology, Diagnosis, and Management of Esophageal Perforation. J Gastrointest...
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