Summary
Esophageal perforation is usually considered a surgical emergency. However, esophageal perforation after therapeutic endoscopic manipulation is a different entity. This type of perforation occurs in a controlled environment and the perforation is usually detected early. Three documented cases of perforation during endoscopic balloon dilatation are described. They were successfully treated nonoperatively.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ajalat GM, Mulder DG (1984) Esophageal perforation: The need for an individualized approach. Arch Surg 119: 1318–1320
Barrett NR (1947) Report of a case of spontaneous perforation of the esophagus successfully treated by operation. Br J Surg 35: 216–218
Bennet JR, Hendrix TR (1970) Treatment of achalasia with pneumatic dilatation. Mod Treat 7: 1217–1228
Cameron JL et al (1979) Selective nonoperative management of contained intrathoracic esophageal disruptions. Ann Thorac Surg 27: 404–408
Dawson J, Cockel R (1981) Oesophageal perforation at fiberoptic gastroscopy. Br Med J 283: 583
Goldstein LA, Thompson WR (1982) Esophageal perforations: A 15 year experience. Am J Surg 143:495–503
Jackson CL (1957) Foreign bodies in the esophagus. Am J Surg 93: 308–312
Lyons WS et al (1978) Ruptures and perforations of the esophagus: the case for conservative supportive management. Ann Thorac Surg, 25: 346–350
Mandelstam P et al (1976) Complications associated with esophagogastroduodenoscopy and with esophageal dilatation. An Analysis of the 1974 A.S.G.E. survey. Gastrointest Endosc 23: 16–19
Mengoli LR, Klassen KP (1965) Conservative management of esophageal perforation. Arch Surg 91: 238–240
Michel L, Grillo HC, Malt RA (1982) Esophageal perforation. Ann Thorac Surg 33:203–210
Sakurai H, McElhinney J (1987) Perforation of the esophagus: Experience at Bronx VA Hospital 1969–1984. Mt Sinai J Med 54: 487–495
Sanderson DR, Ellis EH, Olson AM (1970) Achalasia of the esophagus: results of therapy by dilatation. Chest 48: 116–121
Sarr MG, Pemberton JH, Spencer Payne W (1982) Management of instrumental perforations of the esophagus. J Thorac Cardiovasc Surg 84: 211–218
Sealy WC (1963) Rupture of the esophagus. Am J Surg, 105: 505–510.
Skinner DB, Little AG, DeMeester TR (1980) Management of esophageal perforation. Am J Surg 139:760–764
Swedlund A et al (1989) Nonsurgical management of esophageal perforation from pneumatic dilatation in achalasia. Dig Dis 34: 379–384
Triggiani E, Belsey R (1977) Esophageal trauma: incidence, diagnosis and management. Thorax 32: 241–249
Van Trappen G, Hellemans J (1980) Treatment of achalasia and related motor disorders. Gastroenterology 79: 144–154
Wesdorp IC et al (1984) Treatment of instrumental oesophageal perforation. Gut 25: 398–404
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lo, A.Y., Surick, B. & Ghazi, A. Nonoperative management of esophageal perforation secondary to balloon dilatation. Surg Endosc 7, 529–532 (1993). https://doi.org/10.1007/BF00316695
Issue Date:
DOI: https://doi.org/10.1007/BF00316695