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Results for “ESOPHAGEAL PERFORATION”

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At least 325 records · Page 18Linked to original sources
PubMed1989

Nonsurgical management of esophageal perforation from pneumatic dilatation in achalasia.

Perforation of the esophagus is a well-described complication of pneumatic dilatation in patients with achalasia. Although successful management of these patients without surgical intervention has been reported, little follow-up data exist. We report the successful nonsurgical management of esophageal perforation after pneumatic dilatation in three patients. Manometric and radionuclide esophageal emptying studies in these patients showed satisfactory results after the dilatations despite the occurrence of perforation, and the excellent symptomatic response has been maintained during a follow-up period ranging from one to four years.

Aged↗
PubMed2002

Successfully treated case of cervical abscess and mediastinitis due to esophageal perforation after gastrointestinal endoscopy.

Perforations of the esophagus are uncommon complications of flexible gastrointestinal endoscopy. Perforations after endoscopy are likely to occur in the cervical esophagus, where fiber insertion is difficult anatomically. The diagnosis should be made as soon as possible, because mediastinitis and sepsis frequently develop following esophageal perforations. The surgical strategies are dependent on the location of the perforations and the condition of the patients. For a successful outcome, surgery is a preferred treatment for most perforation cases, and non-operative treatment, such as antibiotics, parental nutrition, and no food intake by mouth, should be applied carefully.

Abscess↗
PubMed1992

[Esophageal perforation in attempted ERCP].

In this report we refer to a 88-years old female patient who was admitted to our hospital under the diagnosis of cholecysto- and choledocholithiasis. Due to clinical symptoms, general performance status and sonographically proven dilated bile ducts emergency-ERCP was performed by an experienced endoscopist. Unfortunately esophageal perforation occurred due to subsequently diagnosed hiatus hernia. Potential pitfalls during examination as well as a concept of problem management during endoscopies with side-view optics will be discussed.

Aged↗
PubMed1994

Surgical repair of esophageal perforation in cirrhotic patients with varices.

A 51-year-old woman, a known alcohol abuser, had sclerotherapy for esophageal varices from portal hypertension. A perforation of the distal esophagus, diagnosed several days later, could not be closed primarily at thoracotomy due to extensive bleeding. The method of "exclusion and diversion in continuity" was modified by ligation of the esophagogastric junction with absorbable suture over a tube stent. The perforation healed and patency of the esophageal lumen was demonstrated 2 weeks later. This alternative life-saving procedure may be useful in chronic esophageal perforation, especially in cirrhotic or otherwise debilitated patients.

Esophageal Perforation↗
PubMed1991

[Esophageal perforation caused by a foreign body. Apropos of a case report].

This report describes an esophageal foreign body perforation treated with T-tube drainage. The clinical diagnosis was delayed erroneously and by the absence of extravasation of water--soluble contrast material. The diagnosis has finally been made by a fiberoptic oesophagogastroscopy and a mediastinal computed tomography. As the external drainage by pleural drainage was inefficient, the authors opted for a surgical treatment, and the perforation was closed on a T-tube. Considering this case as well as the review of the different reports, urgent surgery seems to be only recommended for large esophageal perforations and for small non-cervical perforations where external drainage is inefficient.

Chest Tubes↗