Spontaneous healing of a shredded esophagus after ACDF without direct repair

Sumedh S. Shah; S. Shelby Burks; Dao M. Nguyen; Zoukaa B. Sargi; Joy Stephens-McDonnough; Michael Y. Wang

doi:10.1007/s00701-017-3414-7

Spontaneous healing of a shredded esophagus after ACDF without direct repair

Sumedh S. Shah, S. Shelby Burks, Dao M. Nguyen, Zoukaa B. Sargi, Joy Stephens-McDonnough, Michael Y. Wang

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

3 Scopus citations

Abstract

Esophageal perforation is a catastrophic complication of anterior cervical discectomy and fusion (ACDF). While direct surgical repair has been reported as optimal for restoration of upper gut function, we present the case of a 58-year-old woman who achieved complete resolution when treated only with debridement and drainage. We find that a supportive approach, surgical management without direct repair, may play a vital role in select patient populations in order to avoid potentially long-term consequences or radical treatments, like esophageal diversion. Decisions regarding direct repair versus debridement and inspection only should be made on a case-by-case basis through a multidisciplinary approach.

Original language	English (US)
Pages (from-to)	413-417
Number of pages	5
Journal	Acta Neurochirurgica
Volume	160
Issue number	2
DOIs	https://doi.org/10.1007/s00701-017-3414-7
State	Published - Feb 1 2018

Keywords

Anterior cervical fusion
Management esophageal injury

ASJC Scopus subject areas

Surgery
Clinical Neurology

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abstract = "Esophageal perforation is a catastrophic complication of anterior cervical discectomy and fusion (ACDF). While direct surgical repair has been reported as optimal for restoration of upper gut function, we present the case of a 58-year-old woman who achieved complete resolution when treated only with debridement and drainage. We find that a supportive approach, surgical management without direct repair, may play a vital role in select patient populations in order to avoid potentially long-term consequences or radical treatments, like esophageal diversion. Decisions regarding direct repair versus debridement and inspection only should be made on a case-by-case basis through a multidisciplinary approach.",

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note = "Funding Information: Dr. Michael Wang is a consultant for DePuy Spine, K2?M, JoiMax and Aesculap Spine. He holds a patent with DePuy Spine and stock in Innovative Surgical Devices. Publisher Copyright: {\textcopyright} 2017, Springer-Verlag GmbH Austria, part of Springer Nature.",

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AU - Nguyen, Dao M.

AU - Sargi, Zoukaa B.

AU - Stephens-McDonnough, Joy

AU - Wang, Michael Y.

N1 - Funding Information: Dr. Michael Wang is a consultant for DePuy Spine, K2?M, JoiMax and Aesculap Spine. He holds a patent with DePuy Spine and stock in Innovative Surgical Devices. Publisher Copyright: © 2017, Springer-Verlag GmbH Austria, part of Springer Nature.

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N2 - Esophageal perforation is a catastrophic complication of anterior cervical discectomy and fusion (ACDF). While direct surgical repair has been reported as optimal for restoration of upper gut function, we present the case of a 58-year-old woman who achieved complete resolution when treated only with debridement and drainage. We find that a supportive approach, surgical management without direct repair, may play a vital role in select patient populations in order to avoid potentially long-term consequences or radical treatments, like esophageal diversion. Decisions regarding direct repair versus debridement and inspection only should be made on a case-by-case basis through a multidisciplinary approach.

AB - Esophageal perforation is a catastrophic complication of anterior cervical discectomy and fusion (ACDF). While direct surgical repair has been reported as optimal for restoration of upper gut function, we present the case of a 58-year-old woman who achieved complete resolution when treated only with debridement and drainage. We find that a supportive approach, surgical management without direct repair, may play a vital role in select patient populations in order to avoid potentially long-term consequences or radical treatments, like esophageal diversion. Decisions regarding direct repair versus debridement and inspection only should be made on a case-by-case basis through a multidisciplinary approach.

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Spontaneous healing of a shredded esophagus after ACDF without direct repair

Abstract

Keywords

ASJC Scopus subject areas

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