Use of Indocyanine Green Fluorescence Angiography and Prophylactic Endoscopic Stenting in Esophagectomy for Acute Esophageal Necrosis

Abstract

Acute esophageal necrosis (AEN) is a rare condition with high mortality. We describe a case of an AEN accompanied with multiple esophageal perforations in a 40-year-old patient. This was addressed via emergency Ivor-Lewis-esophagectomy with intraoperative Indocyanine-Green-Angiography (ICGA) and prophylactic placement of a self-expanding metal-stent (SEMS).

Zusammenfassung

Die akute Ösophagusnekrose (AEN) ist eine seltene Erkrankung mit hoher Sterblichkeit. Wir beschreiben einen Fall einer AEN mit multiplen Ösophagusperforationen bei einem 40-jährigen Patienten. Dieser Fall wurde erfolgreich durch eine notfallmäßige Ivor-Lewis-Ösophagektomie mit intraoperativer Indocyanin-Grün-Angiografie (ICGA) und prophylaktischer Platzierung eines selbstexpandierenden Metallstents (SEMS) behandelt.

Schlüsselwörter

akute Ösophagusnekrose - selbstexpandierender Metallstent - Indocyaningrün-Fluoreszenz-Angiographie - Ösophagusresektion - Ösophagusperforation

Keywords

acute esophageal necrosis - self-expanding metal-stent - indocyanin-green-fluorescence angiography - esophagectomy - esophageal perforation

Publication History

Received: 11 February 2022

Accepted after revision: 02 July 2022

Article published online:
22 November 2022

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