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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(04): 287-289
DOI: 10.1055/s-0040-1716629
Case Report

Endoluminal Vacuum Therapy for Iatrogenic Perforation of the Proximal Esophagus—Case Report of a Patient with Esophageal Involvement in Pemphigus Vulgaris

Sabine Wächter
1   Department of Visceral, Thoracic- and Vascular Surgery, Philipps-University Marburg, Baldingerstraße, Marburg, Germany
,
Leif Schiffmann
2   Department of General, Thoracic, Vascular and Transplantation Surgery, University of Rostock, Rostock, Germany
,
Ulrike W. Denzer
3   Department of Gastroenterology, University Hospital Marburg, Marburg, Germany
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Abstract

Pemphigus vulgaris (PV) is a rare autoimmune disease affecting the skin and mucous membranes. Recent studies have shown a relatively high incidence of esophageal involvement in PV. To distinguish between the esophageal involvement of PV and other pathologies, early endoscopic evaluation is essential to obtain tissue for histological analysis. Here, we present the first case of endoluminal vacuum therapy (EVT) for a patient with esophageal involvement in PV and with associated iatrogenic perforation of the proximal esophagus. In comparison to classical treatment options for perforations of the proximal esophagus consisting of either stent insertion or surgical intervention, EVT seems to be a promising alternative with a good clinical outcome.

Keywords

case report - pemphigus vulgaris - esophageal involvement - endoluminal vacuum therapy - esophageal perforation


Publikationsverlauf

Artikel online veröffentlicht:
21. Dezember 2020

© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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