Tissue glue: a potential role in the management of intraoperative oesophageal perforation

Sushil Rodrigues Ranjan; Samit Majumdar; Jaiganesh Manickavasagam; Susanne Flach

doi:10.1136/bcr-2019-232568

Tissue glue: a potential role in the management of intraoperative oesophageal perforation

Sushil Rodrigues Ranjan, Samit Majumdar, Jaiganesh Manickavasagam (Lead / Corresponding author), Susanne Flach

Imaging Science and Technology

Research output: Contribution to journal › Article › peer-review

Abstract

An 85-year-old man suffering from oropharyngeal dysphagia due to a pharyngeal pouch and cricopharyngeal spasm underwent endoscopic stapling of the pouch under general anaesthesia. During the procedure, an iatrogenic perforation of the oesophagus was noticed. After considering several options, 5 mL of Tisseel tissue glue was used to seal the perforation intraoperatively. The patient was started on intravenous co-amoxiclav, kept nil by mouth and fed via a nasogastric tube. After 4 days of observation mediastinal collection and any leakage was ruled out with a gastrografin contrast swallow procedure. At this point he was considered safe for oral intake.

Original language	English
Article number	e232568
Number of pages	4
Journal	BMJ Case Reports
Volume	13
Issue number	7
Early online date	31 Jul 2020
DOIs	https://doi.org/10.1136/bcr-2019-232568
Publication status	Published - Jul 2020

Keywords

cancer intervention
ear, nose and throat/otolaryngology
gastroenterology
oesophagus

ASJC Scopus subject areas

Medicine(all)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1136/bcr-2019-232568

Cite this

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title = "Tissue glue: a potential role in the management of intraoperative oesophageal perforation",

abstract = "An 85-year-old man suffering from oropharyngeal dysphagia due to a pharyngeal pouch and cricopharyngeal spasm underwent endoscopic stapling of the pouch under general anaesthesia. During the procedure, an iatrogenic perforation of the oesophagus was noticed. After considering several options, 5 mL of Tisseel tissue glue was used to seal the perforation intraoperatively. The patient was started on intravenous co-amoxiclav, kept nil by mouth and fed via a nasogastric tube. After 4 days of observation mediastinal collection and any leakage was ruled out with a gastrografin contrast swallow procedure. At this point he was considered safe for oral intake.",

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AU - Ranjan, Sushil Rodrigues

AU - Majumdar, Samit

AU - Manickavasagam, Jaiganesh

AU - Flach, Susanne

N1 - © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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N2 - An 85-year-old man suffering from oropharyngeal dysphagia due to a pharyngeal pouch and cricopharyngeal spasm underwent endoscopic stapling of the pouch under general anaesthesia. During the procedure, an iatrogenic perforation of the oesophagus was noticed. After considering several options, 5 mL of Tisseel tissue glue was used to seal the perforation intraoperatively. The patient was started on intravenous co-amoxiclav, kept nil by mouth and fed via a nasogastric tube. After 4 days of observation mediastinal collection and any leakage was ruled out with a gastrografin contrast swallow procedure. At this point he was considered safe for oral intake.

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Tissue glue: a potential role in the management of intraoperative oesophageal perforation

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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