Complete Endoscopic Closure (Clipping) of a Large Esophageal Perforation After Pneumatic Dilation in a Patient with Achalasia
نویسندگان
چکیده
منابع مشابه
Complete endoscopic closure (clipping) of a large esophageal perforation after pneumatic dilation in a patient with achalasia.
The risk of esophageal perforation following endoscopic balloon dilation for achalasia is in the range of 1%-5%, with a mortality rate of 1%-20%. Perforations need to be recognized early, and, if reasonable, an immediate endoscopic repair should be pursued quickly. Herein, we report a case of successful endoscopic closure by clipping of a large iatrogenic perforation in a patient with achalasia...
متن کاملPneumatic dilation for achalasia in a patient with esophageal varices
BACKGROUND AND STUDY AIMS Previous reports of simultaneous presence of esophageal varices (EV) and achalasia suggest placement of a transjugular intrahepatic portosystemic shunt (TIPS) and surgical myotomy or endoscopic therapy. We report the case of a 64-year-old man who received anticoagulant therapy for a myeloproliferative disorder with extensive portal thrombosis which was a contraindicati...
متن کاملSuccessful endoscopic treatment (clipping) of esophageal perforation during balloon dilatation in a patient with achalasia.
woman with a 20−year history of inter− mittent dysphagia and regurgitation worsening over the past 6 years. The pa− tient underwent balloon dilatation as the first treatment of her disease. A Rigiflex balloon dilator (Boston Scientific, Boston, MA, USA) with a diameter of 30 mm was positioned over a guide wire at the gas− troesophageal junction under endoscopic control. An endoscope was introdu...
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A 56-year old woman was transferred to our hospital 1 day after balloon dilation for recently diagnosed achalasia that had been complicated by transmural esophageal perforation. Physical examination revealed tachycardia and fever, as well as left-sided pleural fluid. Emergency surgery was performed, which involved transhiatal primary closure of a 4-cm long transmural perforation, debridement of...
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A 71-year-old woman was found to have a laterally spreading tumor (non-granular type) adjacent to a previous surgical anastomosis (▶Fig. 1 a). Endoscopic submucosal dissection (ESD) with carbon dioxide insufflation was attempted using an esophagogastroduodenoscope (GIFH180J; Olympus Co., Tokyo, Japan) and a FlushKnife BT (DK2618JB15; Fujifilm Medical, Tokyo, Japan) during the fourth edition of ...
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ژورنال
عنوان ژورنال: Journal of Laparoendoscopic & Advanced Surgical Techniques
سال: 2012
ISSN: 1092-6429,1557-9034
DOI: 10.1089/lap.2012.0198