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Updated: Jul 7, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Novel Endoscopic Closure of Iatrogenic Hypopharyngeal Perforations Using Through-the-Scope Tissue Approximation Clips
Pranav Ramamurthy1, Kais Zakharia2
1Department of Internal Medicine, University of Massachusetts Chan Medical School - Baystate Medical Center, Springfield, MA.
ACG Case Reports Journal
|July 6, 2026
Summary
Iatrogenic hypopharyngeal perforations, a rare complication, were successfully managed using endoscopic tissue approximation clips. This minimally invasive approach shows promise for carefully selected patients, potentially avoiding surgery.
Area of Science:
- Gastroenterology
- Otolaryngology
- Endoscopic Surgery
Background:
- Hypopharyngeal perforation is a rare but serious complication of upper aerodigestive tract procedures.
- Current management strategies for these perforations are debated, with limited evidence for endoscopic techniques.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.