Reconstrucción de pared esofágica con colgajos musculares

Reconstruction of the esophageal wall with muscle flaps

Contenido principal del artículo

Martha Milena Alfonso
Elkin Benítez
Julio César Granada
Francisco Eduardo Anaya
Germán Junca
Jorge Alberto Carrillo

Resumen

La perforación esofágica concomitante con perforación aórtica secundaria a cuerpo extraño, es una patología poco frecuente que condiciona alta mortalidad. Se han descrito muy pocos casos que hayan recibido manejo híbrido y resultados satisfactorios, en especial cuando el diagnóstico es tardío. En este documento se presenta un caso de perforación esofágica torácica y aórtica secundaria a cuerpo extraño diagnosticado en forma tardía, que recibió manejo híbrido con reparación aórtica vía endovascular, stent esofágico autoexpandible y reconstrucción de la pared esofágica con colgajo muscular sin reparación primaria.

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Detalles del artículo

Biografía del autor/a (VER)

Martha Milena Alfonso, Universidad del Rosario. Bogotá

Residente de Cirugía General, Universidad del Rosario. Bogotá, Colombia.

Elkin Benítez, Universidad del Rosario. Bogotá

Residente de Cirugía General, Universidad del Rosario. Bogotá, Colombia.

Julio César Granada, Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá

Cirujano de Tórax y de Trasplante pulmonar Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá, Colombia. Fundación Santa Fe de Bogotá. Universidad de los Andes.

Francisco Eduardo Anaya, Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá

Médico Intensivista, Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá, Colombia.

Germán Junca, Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá

Médico Gastroenterólogo, Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá, Colombia.

Jorge Alberto Carrillo, Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá

Médico radiólogo. Hospital Universitario Mayor Méderi. Universidad del Rosario. Bogotá, Colombia

Referencias (VER)

Repici A, Rando G. Stent for nonmalignant leaks, perforations, and ruptures. Techniques in Gastrointestinal Endoscopy. 2010;12(4):237-45.

Macchi V, Porzionato A, Bardini R, Parenti A, De Caro R. Rupture of ascending aorta secondary to esophageal perforation by fish bone. J Forensic Sci. 2008;53(5):1181-4.

Sica G, Djapardy V, Westaby S, Maynard N. Diagnosis and management of aortoesophageal fistula caused by a foreign body. Ann Thorac Surg. 2004;77:2217-8.

Fang Y, Zhou X, Liu J. Aortoesophageal fistula (AEF): Fatal upper gastrointestinal haemorrhage. Turk J Gastroenterol.2014;25(Suppl.1):321-3.

D’Costa H, Bailey F, McGavigan B, George G, Todd B. Perforation of the oesophagus and aorta after eating fish: an unusual cause of chest pain. Emerg Med J. 2003;20:385–6.

Kelly S, Peters P, Ogg M, Li A, Smithers B. Successful management of an aortoesophageal fistula caused by a fishbone– case report and review of literature. J Cardiothorac Surg.2009;4:21.

Katsetos MC, Tagbo AC, Lindberg MP, Rosson RS. Esophageal perforation and mediastinitis from fish bone ingestion.South Med J. 2003;96:516-20.

Arantes V, Campolina C, Valerio SH, et al. Flexible esophagoscopy as a diagnostic tool for traumatic esophageal injuries.J Trauma. 2009; 66(6):1677-82.

HorwitzB, Krevsky B, Buckman RF, Jr, Fisher RS, Dabezies MA. Endoscopic evaluation of penetrating esophageal injuries. Am J Gastroenterol. 1993;88(8):1249-53.

Woo SH, Kim KH. Proposal for methods of diagnosis of fish bone foreign body in the esophagus. Laryngoscope. 2015;125(11)2472-5.

Swinnen J, Eisendrath P, Rigaux J, Kahegeshe L, Lemmers A, Le Moine O. Self-expandable metal stents for the treatment of benign upper GI leaks and perforations. Gastrointestinal endoscopy. 2011;73(5):80-899.

Eliashar R, Dano I, Dangoor E, Braverman I, Sichel JY. Computed tomography diagnosis of esophageal bone impaction: a prospective study. Ann Otol Rhino Laryngol. 1999;108:708-10.

Park S, Choi DS, Shin HS, Cho JM, Jeon KN, Bae KS, et al. Fish bone foreign bodies in the pharynx and upper esophagus: evaluation with 64-slice MDCT. Acta Radiol. 2014;55(1):8-13.

Lang HM, Bruns DH, Schmitz B, Wuerl P. Esophageal perforation: principles of diagnosis and surgical management. Surg Today. 2006;36:332–40.

Lindenmann J, Matzi V, Neuboeck N, Anegg U, Maier A, Smolle J, et al. Management of esophageal perforation in 120 consecutive patients: clinical impact of a structured treatment algorithm. J Gastrointest Surg.2013;17:1036-43.

Bufkin BL, Miller JI, Jr. Mamsour KA. Esophageal perforation: emphasison management. Ann Thoracic Surg.1996;61:1447-51.

Carrott PW, Low D. Advances in the management of esophageal perforation. Thorac Surg Clin. 2011;21:541–55.

Kuppusamy M, Hubka M, Felisky C, Carrott P, Kline E, et al. Evolving management strategies in esophageal perforation:Surgeons Using nonoperative Techniques to Improve Outcomes. J Am Coll Surg. 2011;213(1):164-71.

Henderson JB, Sorser SA, Atia AN, Catalano MF. Repair of esophageal perforation using a novel endoscopic suturing sys- tem. Gastrointest Endosc. 2014;80(3):535-7.

Esquivel RG, Raju GS. Endoscopic closure of acute esophageal perforations. Curr Gastroenterol Rep. 2013;15:321.

Kuppusamy M, Felisky C, Kozarek RA, Schembre D, Ross A, Gan I, et al. Impact of endoscopic assessment and treatment on operative and non-operative management of acute oesophageal perforation. Brit J Surg. 2011;98:818-24.

Raju GS, Tarcin O. Endoscopic management of anastomotic esophageal leaks. Techniques in Gastrointestinal Endoscopy. 2006;8(2):66-71.

Van Heel NC, Haringsma J, Spaander MC, Bruno MJ, Kuipers EJ. Short-term esophageal stenting in the management of benign perforations. Am J Gastroenterol. 2010;10 (7):1515-20.

Siersema PD, Homs M, Haringsma J, Tilanus HW, Kuipers EJ. Use of large-diameter metallic stents to seal traumatic nonmalignant perforations of the esophagus. Gastrointestinal Endoscopy. 2003;58(3):356–61.

Freeman RK, Van Woerkom JM, Ascioti AJ. Esophageal stent placement for the treatment of iatrogenic intrathoracic esophageal perforation. Ann Thorac Surg. 2007;83(6):2003-7.

Sabuncuoglu M, Benzin F, Dandin O, Cakir T, Sozen I, et al. Rare cause of oesophagus perforation. Int J Surg Case Rep. 2015;6:138–40.

Whyte RI, Iannettoni MD, Orringer MB. Intrathoracic esophageal perforation. The merit of primary repair. J Thoracic Cardiovasc Surg. 1995;109 (1):140-6.

Westaby S. An improved method for primary repair after spontaneous oesophageal perforation. Br J Surg. 1980;67:801-3.

Bardaxoglou E, Manganas D, Meunier B, Landen S, Maddern GJ, Campion JP, et al. New approach to surgical management of early esophageal thoracic perforation: primary suture repair reinforced with absorbable mesh and fibrin glue. World J Surg.1997;21:618–21.

Petrovsky BV. The use of diaphragm grafts for plastic operations in thoracic surgery. J Thorac Cardiovasc Surg. 1961;41:348-55.

Alexander PV, Hollands M, O ́Rourke, Tait N. Intercostal pedicle flap for thoracic oesophageal perforations. Aust NZ J Surg. 1997; 67:133-5.

Martinez L, Rivas S, Hernandez F, Avila LF, Lassaletta L, Murcia J, et al. Aggressive conservative treatment of esophageal perforations in children. J Pediatric Surg. 2003;38(5):685-9.

Ryom P, Ravn JB, Penninga L, Schmidt S, Iversen MG, Skov-Olsen P, et al. Aetiology, treatment and mortality after oesophageal perforation in Denmark. Dan Med Bull. 2011;58(5):A4267.

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