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Z Gastroenterol 2023; 61(03): 280-283
DOI: 10.1055/a-1891-7438
Kasuistik

Use of Indocyanine Green Fluorescence Angiography and Prophylactic Endoscopic Stenting in Esophagectomy for Acute Esophageal Necrosis

Ösophagusresektion mit Indocyaningrün-Fluoreszenzangiographie und prophylaktischer endoskopischer Stentimplantation bei akuter Ösophagusnekrose
Lisanne van Liebergen
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
René Kaiser
2   Gastroenterologie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
David Sebastian Sibbert
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
Stefan Meiners
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
Christian Claussnitzer
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
Jan Soelter
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
Roland Schmidt
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
,
Christian Beltzer 
1   Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany (Ringgold ID: RIN39542)
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Abstract

Acute esophageal necrosis (AEN) is a rare condition with high mortality. We describe a case of an AEN accompanied with multiple esophageal perforations in a 40-year-old patient. This was addressed via emergency Ivor-Lewis-esophagectomy with intraoperative Indocyanine-Green-Angiography (ICGA) and prophylactic placement of a self-expanding metal-stent (SEMS).

Zusammenfassung

Die akute Ösophagusnekrose (AEN) ist eine seltene Erkrankung mit hoher Sterblichkeit. Wir beschreiben einen Fall einer AEN mit multiplen Ösophagusperforationen bei einem 40-jährigen Patienten. Dieser Fall wurde erfolgreich durch eine notfallmäßige Ivor-Lewis-Ösophagektomie mit intraoperativer Indocyanin-Grün-Angiografie (ICGA) und prophylaktischer Platzierung eines selbstexpandierenden Metallstents (SEMS) behandelt.

Schlüsselwörter

akute Ösophagusnekrose - selbstexpandierender Metallstent - Indocyaningrün-Fluoreszenz-Angiographie - Ösophagusresektion - Ösophagusperforation

Keywords

acute esophageal necrosis - self-expanding metal-stent - indocyanin-green-fluorescence angiography - esophagectomy - esophageal perforation


Publication History

Received: 11 February 2022

Accepted after revision: 02 July 2022

Article published online:
22 November 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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