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Iatrogenic esophageal perforation during devascularization procedure managed with Thal wrap
A Pimpalwar1, K L Narasimhan, S K Choudhary
1Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh.
Summary
This study details a successful 270-degree Thal
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Esophageal varices pose a significant risk for bleeding.
- Sclerotherapy is a common treatment for esophageal varices but can fail.
- Iatrogenic esophageal perforation is a rare but serious complication.
Observation:
- A patient experienced an iatrogenic esophageal perforation following failed sclerotherapy for bleeding esophageal varices.
- The patient had previously undergone devascularization and splenectomy.
Findings:
- A 270-degree Thal's partial fundal wrap was successfully employed to close the esophageal perforation.
- This surgical technique provided an effective solution for a complex esophageal injury.
Implications:
- Thal's partial fundal wrap is a viable option for managing iatrogenic esophageal perforations.
- This case highlights the importance of tailored surgical approaches in managing complications of variceal treatment.