{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:28:42Z","timestamp":1792290522970,"version":"4.4.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Esophageal perforation (EP) during laparoscopic sleeve gastrectomy is a rare but life-threatening complication. We report a case of a 46-year-old woman who developed late-onset EP, over 24\u00a0h postoperatively, following a sleeve gastrectomy, cholecystectomy, and hiatoplasty. The patient presented with epigastric pain, retrosternal discomfort, and dyspnea, and was diagnosed with a distal esophageal leak and mediastinitis. Surgical intervention included upper endoscopy, drainage tubes placement, thoracic and abdominal cavity lavage, and cervical esophagostomy. Postoperatively, the patient required intensive care for circulatory and ventilatory support, and antibiotic therapy was adjusted following positive culture results. Despite aggressive treatment, the patient remained in the intensive care unit for 12\u00a0days due to persistent systemic inflammatory response syndrome, but eventually recovered. This case emphasizes the importance of prompt diagnosis and management of EP in bariatric surgery. More research is needed to standardize treatment protocols for this rare but serious complication.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf370","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T21:21:27Z","timestamp":1748985687000},"source":"Crossref","is-referenced-by-count":2,"title":["Management of a life-threatening esophageal perforation during laparoscopic sleeve gastrectomy: a case study of an Ecuadorian patient"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4981-7618","authenticated-orcid":false,"given":"Bernarda","family":"Pati\u00f1o-Araujo","sequence":"first","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado. Av. Mariana de Jes\u00fas OE7-02 and Nu\u00f1o de Varderrama , Citimed, Ground floor Of. 2, Quito, Pichincha 170509 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3039-3190","authenticated-orcid":false,"given":"Mar\u00eda","family":"Salgado-B\u00e1ez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado. Av. Mariana de Jes\u00fas OE7-02 and Nu\u00f1o de Varderrama , Citimed, Ground floor Of. 2, Quito, Pichincha 170509 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3033-1265","authenticated-orcid":false,"given":"Gabriel","family":"Villavicencio-Logro\u00f1o","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado. Av. Mariana de Jes\u00fas OE7-02 and Nu\u00f1o de Varderrama , Citimed, Ground floor Of. 2, Quito, Pichincha 170509,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9217-7238","authenticated-orcid":false,"given":"Mar\u00eda","family":"Ayora-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado. Av. Mariana de Jes\u00fas OE7-02 and Nu\u00f1o de Varderrama , Citimed, Ground floor Of. 2, Quito, Pichincha 170509 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1231-5396","authenticated-orcid":false,"given":"Gabriela","family":"Zapata-Jaramillo","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado. Av. Mariana de Jes\u00fas OE7-02 and Nu\u00f1o de Varderrama , Citimed, Ground floor Of. 2, Quito, Pichincha 170509 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1198-0833","authenticated-orcid":false,"given":"Napole\u00f3n","family":"Salgado-Mac\u00edas","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Bari\u00e1trica Dr. Napole\u00f3n Salgado. Av. Mariana de Jes\u00fas OE7-02 and Nu\u00f1o de Varderrama , Citimed, Ground floor Of. 2, Quito, Pichincha 170509 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"2025060317212243100_ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/dox013","article-title":"Epidemiology, diagnosis, and management of esophageal perforations: systematic review","volume":"30","author":"Sdralis","year":"2017","journal-title":"Dis Esophagus"},{"key":"2025060317212243100_ref2","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1007\/s00268-013-1951-7","article-title":"Current treatment and outcome of esophageal perforations in adults: systematic review and meta-analysis of 75 studies","volume":"37","author":"Biancari","year":"2013","journal-title":"World J Surg"},{"key":"2025060317212243100_ref3","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s13017-019-0245-2","article-title":"Esophageal emergencies: WSES guidelines","volume":"14","author":"Chirica","year":"2019","journal-title":"World J Emerg Surg"},{"key":"2025060317212243100_ref4","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s12893-020-0679-1","article-title":"Cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy: a case report and review of the literature","volume":"20","author":"Lovece","year":"2020","journal-title":"BMC Surg"},{"key":"2025060317212243100_ref5","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.ijscr.2011.08.017","article-title":"Bougie insertion: a common practice with underestimated dangers","volume":"3","author":"Theodorou","year":"2012","journal-title":"Int J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf370\/63428751\/rjaf370.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf370\/63428751\/rjaf370.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T21:21:27Z","timestamp":1748985687000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf370\/8156055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf370","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf370"}}