Endoscopic vacuum therapy for acute esophageal perforation following pneumatic dilation

Endoscopic intraluminal vacuum therapy of duodenal perforation.

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...

Endoscopic vacuum therapy for esophageal perforations and leakages

BACKGROUND AND STUDY AIMS Injuries to the esophageal wall, such as perforations and anastomotic leaks, are serious complications of surgical and endoscopic interventions. Since 2006, a new treatment has been introduced, in the form of endoscopically placed vacuum sponge therapy. PATIENTS AND METHODS Between April 2012 and October 2014, 10 patients (5 men and 5 women) aged 57 to 94 years were ...

Endoscopic closure of transmural esophageal perforation after balloon dilation for achalasia.

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...

Pneumatic 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...