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Incidence and management of laser-associated oesophageal perforation
M R Tyrrell1, G A Trotter, A Adam
1Department of Surgery, Guy's Hospital, London, UK.
The British Journal of Surgery
|September 1, 1995
Abstract:
The incidence of oesophageal perforation in 350 patients referred for laser treatment to palliate malignant dysphagia is reported. Perforation occurred in 6 per cent of patients or 2 per cent of treatment episodes. Perforation was usually due to oesophageal dilatation undertaken before laser treatment (23 of 25 perforations). Immediate recognition and the institution of an aggressive non-operative management protocol resulted in survival in 20 of 23 patients.