PMID: 15232361Jul 3, 2004Paper

Primary endoscopic management of esophageal perforation following transesophageal echocardiogram

Journal of Clinical Gastroenterology
Marco Antonio SobrinoDonald Edward Low

Abstract

A 90-year-old woman sustained a proximal esophageal perforation following transesophageal echocardiography. The perforation originated at the site of a Zenker's diverticulum and resulted in a false passage to the diaphragm. Initial management involved endoscopic placement of drains into the mediastinum in addition to bilateral chest drains and a gastrostomy. Following stabilization, the patient had repair of her Zenker's diverticulum and recovered uneventfully. We recommend that all procedures involving blind intubation of the esophagus should be preceded with specific pursuit of a background of cervical dysphagia.

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Citations

Oct 9, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Geneviève Côté, André Denault
Nov 13, 2007·The Journal of Trauma·James T WuMatthew J Wall
Jul 27, 2012·Gastrointestinal Endoscopy·Todd H BaronRichard A Kozarek
Jul 10, 2013·Echocardiography·Sandeep Sainathan, Shahriyour Andaz
Jun 6, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Joanne Ramjohn, David A Paulus
Mar 16, 2019·Journal of General and Family Medicine·Koshi OtaAkira Takasu

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