title: First successful treatment of a circumferential intramural esophageal dissection with perforation in a patient with eosinophilic esophagitis using a partially covered self-expandable metal stent.
abstract: Intramural esophageal dissection (IED) is a rare disease characterized by a partial (PIED) or circumferential (CIED) mucosal rupture. Whereas PIED responds well to nonoperative treatment, complicated courses have been reported necessitating surgery, up to the point of esophagectomy despite complex endoscopic interventions, in CIED. We report the first case of an iatrogenic CIED with perforation in a young patient with underlying eosinophilic esophagitis treated successfully by endoscopy alone, using a partially covered self-expandable metal stent.
authors: 1 Division of Interdisciplinary Endoscopy, Departments of General and Visceral Surgery and Medicine II, University Hospital Freiburg , Freiburg, Germany .
authors: Andreas
authors: A
authors: Fischer
authors: Jens
authors: J
authors: Höppner
authors: Hans-Jürgen
authors: HJ
authors: Richter-Schrag
mesh_terms: D000328:Adult; D016145:Endoscopy, Digestive System / Q000379:methods*; D057765:Eosinophilic Esophagitis / Q000150:complications / Q000601:surgery*; D004935:Esophageal Diseases / Q000209:etiology / Q000601:surgery; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008670:Metals; D009092:Mucous Membrane / Q000601:surgery*; D012422:Rupture, Spontaneous / Q000209:etiology / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome
chemical_list: D008670:Metals