Related Experiment Videos
[Endoscopic treatment of iatrogenic esophageal perforation]
P Agha-Mir-Salim1, R Beck, M Bloching
1Klinik für Hals-, Nasen-, Ohrenkrankheiten, Gesichts- und Halschirurgie, Martin-Luther-Universität Halle-Wittenberg.
Background:
Esophageal perforations are the most frequent complications of endoscopy of the upper gastrointestinal tract. Life-threatening consequences such as mediastinitis, septic disease, or multiple organ failure are possible. Traditional surgical and conservative methods of treatment should be distinguished. In serious cases, thoracotomy in particular is a high-risk operation.
Patients And Results:
This case demonstrates the successful endoscopic treatment of an esophageal perforation with mediastinal empyema by fibrin gluing.
Conclusions:
Esophageal perforations up to 20 cm aboral and a maximum diameter of 1.5 cm could be treated by rigid endoscopical fibrin gluing. High-risk patients could be managed effectively avoiding extensive surgery.