Summary
The authors report a case of a very large esophageal mucosal dissection observed during an esophagoscopy performed 7 days after dilatation of a cervical esophageal web. They treated this dissection by positioning an endoesophageal balloon which obtained the fast, overlapping closure of the torn mucosal layers and at the same time allowed both gastric drainage and enteral feeding via a pump.
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References
Adams H, Roberts GM, Smith PM (1989) Oesophageal tears during pneumatic balloon dilatation for the treatment of achalasia. Clin Radiol 40: 53–57
Benjamin B, Hanks TJ (1965) Submucosal dissection of the oesophagus due to haemorrage. J Laringol 19: 1032–1038
Borrie J, Sheat J (1970) Spontaneous intramural oesophageal perforation. Thorax 25: 294–399
Bradley JL, Han SY (1979) Intramural hematoma (incomplete perforation) of the esophagus associated with esophageal dilatation. Radiology 130: 59–62
Flynn AE, Verrier ED, Way LM, Thomas AN, Pellegrini CA (1989) Esophageal perforation. Arch Surg 124: 1211–1214
Hill LD (1988) The oesophagus: medical and surgical management. WB Saunders, Philadelphia
Karrat F, Mnif S, Kechaou MS, Turki H, Jaouadi M, Didra M, Fourat R, Haddouk B (1989) La dysphagie sidéropénique. J Radiol (Paris) 70: 563–567
Kerr WF (1980) Spontaneous intramural rupture and intramural haematoma of the oesophagus. Thorax 35: 890–897
Kuo YC, Wu CS (1989) Spontaneous intramural perforation of the esophagus: case report and review of the literature. Endoscopy 21: 153–154
Lichter I, Borrie J (1965) Intramural oesophageal abscess. Br J Surg 52: 185–188
Lion-Chachet J (1963) Gastric fundal mucosal tears. Br J Surg 50: 985–986
Lowman RM, Goldman R, Stern H (1969) The roentgen aspects of intra-mural dissection of the oesophagus: the mucosal strim sign. Radiology 93: 1329–1331
Mandelstam P, Sugawa C, Silvis SE (1976) Complications associated with esophagogastroduodenoscopy and esophageal dilatation. Gastrointest Endosc 23: 16–19
Mengoli LR, Klassen KP (1965) Conservative management of esophageal perforation. Arch Surg 91: 238–240
Postlethwaith RW (1988) Surgery of the esophagus. Appleton-Century-Crofts, Norwalk, Connecticut
Sotnikov VN, Chernekhovskaia NE, Rozikov Iu Sh (1989) Oslozhneiia pri endosckopicheskom issledovanii verkhinkh otdelov pishchevarite'lnogo trakta. Klin Med Mosk 67: 73–76
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Mattioli, S., Raspadori, A., Di Simone, M.P. et al. Dissection of the esophagus after dilatation of a cervical diaphragm. Surg Endosc 6, 249–251 (1992). https://doi.org/10.1007/BF02498814
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DOI: https://doi.org/10.1007/BF02498814