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

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

General Medicine

UN SDGs

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

Access to Document

10.1136/bcr-2019-232568

Cite this

@article{5f2638d1388c47b095446997320cda6c,

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.",

keywords = "cancer intervention, ear, nose and throat/otolaryngology, gastroenterology, oesophagus",

author = "Ranjan, {Sushil Rodrigues} and Samit Majumdar and Jaiganesh Manickavasagam and Susanne Flach",

note = "{\textcopyright} BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2020",

month = jul,

doi = "10.1136/bcr-2019-232568",

language = "English",

volume = "13",

journal = "BMJ Case Reports",

issn = "1757-790X",

publisher = "BMJ Publishing Group",

number = "7",

}

TY - JOUR

T1 - Tissue glue

T2 - a potential role in the management of intraoperative oesophageal perforation

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.

PY - 2020/7

Y1 - 2020/7

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.

AB - 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.

KW - cancer intervention

KW - ear, nose and throat/otolaryngology

KW - gastroenterology

KW - oesophagus

UR - http://www.scopus.com/inward/record.url?scp=85089117513&partnerID=8YFLogxK

U2 - 10.1136/bcr-2019-232568

DO - 10.1136/bcr-2019-232568

M3 - Article

C2 - 32737024

SN - 1757-790X

VL - 13

JO - BMJ Case Reports

JF - BMJ Case Reports

IS - 7

M1 - e232568

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this