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Perforation during esophageal dilatation: a 10-year experience
Alexander F Hagel1, Andreas Naegel, Wolfgang Dauth
1Department of Medicine 1, University of Erlangen, Erlangen, Germany;
Journal of Gastrointestinal and Liver Diseases : JGLD
|December 27, 2013
Summary
Endoscopic treatment for esophageal stenosis, including balloon dilatation and bougination, has a low perforation risk (0.53% per intervention). Patient outcomes after perforation depend on co-morbidities and prompt diagnosis.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Complications
Background:
- Esophageal stenosis necessitates endoscopic interventions like balloon dilatation and bougination.
- These procedures carry inherent risks, including esophageal perforations.
Purpose of the Study:
- To evaluate the risk of perforations associated with endoscopic dilatation and bougination for esophageal stenosis.
Main Methods:
- A retrospective analysis of 368 patients undergoing 1497 endoscopic interventions over 10 years.
- Data collected included perforation rates, outcomes, and underlying diseases.
Main Results:
- Eight perforations (0.53% per intervention) and one death (0.05% per intervention) occurred across all procedures.
- Bougination had a perforation rate of 0.62% with one death, while balloon dilatation had no perforations.
- Patient co-morbidities significantly impacted outcomes following perforation.
Conclusions:
- While complication rates are low, patients require 24-72 hour monitoring post-intervention.
- Early radiological examination is crucial if perforation is suspected.
- Prognosis is influenced by perforation characteristics and patient co-morbidities.
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