Publication: Iatrogenic esophageal perforation
1
0
Issued Date
2015
Resource Type
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-84957665464
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 98, (2015), p.S177-S183
Suggested Citation
Tullavardhana T. Iatrogenic esophageal perforation. Journal of the Medical Association of Thailand. Vol 98, (2015), p.S177-S183. Retrieved from: https://hdl.handle.net/20.500.14740/6082
Author(s)
Abstract
Iatrogenic esophageal perforation is the most common cause of esophageal perforation associated with high mortality rate of 19%. Acute sudden onset of pain after endoscopic intervention is the most common presenting symptom. Water soluble contrast study, CT scan, and endoscopy provide a high sensitivity for diagnosis of iatrogenic perforation. Nonoperative management is safe and effective treatment for early perforation (<24 hours) without clinical signs of sepsis. However, surgical management such as primary repair, esophageal exclusion and diversion, and esophagectomy is warranted in the patients who did not meet the criteria for non-operative management. Endoscopic management (clip, esophageal stent) is an alternative treatment option with 80 to 90% of esophageal healing rate. Early recognition of suspicious symptoms within 24 hours, the use of the appropriate investigation, selection of the optimal treatment options, and multidisciplinary critical care are the best way to improve outcomes. © 2015, Medical Association of Thailand. All rights reserved.
Subject(s)
Clinical evaluation
Clinical feature
Computer assisted tomography
Contrast radiography
Endoscopy
Esophagoscopy
Esophagus perforation
Esophagus resection
Human
Iatrogenic disease
Mortality
Review
Thorax radiography
Treatment outcome
Esophageal Perforation
Sepsis
Stent
Esophageal Perforation
Humans
Iatrogenic Disease
Sepsis
Stents
Treatment Outcome
Clinical feature
Computer assisted tomography
Contrast radiography
Endoscopy
Esophagoscopy
Esophagus perforation
Esophagus resection
Human
Iatrogenic disease
Mortality
Review
Thorax radiography
Treatment outcome
Esophageal Perforation
Sepsis
Stent
Esophageal Perforation
Humans
Iatrogenic Disease
Sepsis
Stents
Treatment Outcome