Management of esophageal perforations after therapeutic upper gastrointestinal endoscopy

Scandinavian Journal of Gastroenterology
H E AdamekJ F Riemann

Abstract

Esophageal perforation is one of the most dreaded complications in therapeutic gastrointestinal endoscopy. We assessed the frequency of esophageal perforation after endoscopic procedures in a highly specialized endoscopy unit and compared clinical outcomes in patients undergoing either surgical or conservative management. From January 1985 to June 1996, 1011 instrumental endoscopic procedures (dilatation and bougienage) were performed in our department. The computerized complication database was searched to identify all patients with esophageal perforation during this same period, and their records were reviewed. Seventeen esophageal perforations (1.7%) occurred in the course of 1011 procedures. Four perforations resulted from balloon dilatation, and 13 were secondary to bougienage. Six patients were managed surgically (35%), all of them recovering uneventfully. Eleven patients were managed conservatively, mainly because they were unfit for surgery. Survival rate in this group was 82%; only two patients died, both of whom had underlying malignant disease. The current concept in management of esophageal perforations comprises surgical as well as medical treatment. In well-selected cases, non-operative treatment can be considered...Continue Reading

References

May 1, 1979·The Annals of Thoracic Surgery·J L CameronR R Baker
Dec 1, 1992·Gastroenterology·V F EckardtG Bernhard
May 1, 1992·Endoscopy·S M MühldorferC Ell
Mar 1, 1989·Digestive Diseases and Sciences·A SwedlundR W McCallum
Sep 1, 1987·Digestive Diseases and Sciences·D J OttD W Gelfand
Sep 1, 1986·The Annals of Thoracic Surgery·M R BladergroenR W Postlethwait
May 1, 1970·American Journal of Surgery·W A Wichern
Jul 7, 1984·Lancet·K R Hine, M Atkinson
Apr 1, 1984·Gut·I C WesdorpG N Tytgat
Nov 1, 1981·Gastrointestinal Endoscopy·A B Tulman, H W Boyce
Apr 1, 1982·American Journal of Surgery·L A Goldstein, W R Thompson
Jul 1, 1981·Annals of Surgery·L MichelR A Malt
May 1, 1994·Gastrointestinal Endoscopy·V S SwaroopP B Desai
Sep 1, 1995·The British Journal of Surgery·M R TyrrellR C Mason
Feb 1, 1995·Gastrointestinal Endoscopy·R SawyerN Vakil
Jun 1, 1995·American Journal of Surgery·L B ReederM K Ferguson
Jan 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·R I WhyteM B Orringer
Aug 1, 1993·Digestive Diseases and Sciences·H M SchwartzM Traube
May 1, 1996·The Annals of Thoracic Surgery·B L BufkinK A Mansour
Feb 1, 1996·Gastrointestinal Endoscopy·N BethgeN Vakil
Apr 1, 1963·American Journal of Surgery·W C SEALY

❮ Previous
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Citations

Jan 27, 2005·Gastrointestinal Endoscopy·Lawrence C HookeyJacques Deviére
Jun 2, 2011·Seminars in Interventional Radiology·Kevin J BlountEduard E de Lange
Dec 6, 2003·Journal of Spinal Disorders & Techniques·Brian P Witwer, Daniel K Resnick
Dec 23, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Akira MatsumotoKatsuhiko Yanaga
Nov 13, 2007·The Journal of Trauma·James T WuMatthew J Wall
Nov 9, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Tim VanuytselJan Tack
Jul 12, 2011·Gastrointestinal Endoscopy·Neil GuptaPrateek Sharma
Apr 27, 2011·Alimentary Pharmacology & Therapeutics·P G A van BoeckelP D Siersema
Nov 26, 2013·The British Journal of Surgery·S WahedS M Griffin
Jan 7, 2004·American Journal of Surgery·Narendar Mohan Gupta, Lileswar Kaman
Jan 24, 2006·The Annals of Thoracic Surgery·Andreas FischerUlrich T Hopt
Sep 4, 2012·Air Medical Journal·Michelle M McLean, Peter V R Tilney
Sep 1, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A FischerU T Hopt
Sep 27, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·C J McNameeT Black
Jul 17, 2013·World Journal of Gastrointestinal Endoscopy·Henrike LenzenTim O Lankisch
May 12, 2016·Korean Journal of Neurotrauma·Sei-Youn YangKyoung-Suok Cho
Mar 24, 2006·Surgery Today·Markus Huber-LangPeter Wuerl
Jun 30, 2018·International Journal of Clinical Pharmacy·Jennifer Gregory, Jason Hecht
Mar 11, 2009·Gastroenterology·John M InadomiNicholas J Shaheen

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