Low Oesophageal Perforation at Gastroscopy

Oesophageal perforation at fibreoptic gastroscopy

In a survey of 173 endoscopy units conducted through the British Society for Digestive Endoscopy (which merged with the British Society of Gastroenterology in 1980) 31 of the 101 units who replied reported serious complications (R Cockel, unpublished data). A supplementary questionnaire was sent to these centres requesting further details, and replies were received from 24. The table records th...

Oesophageal perforation for oesophageal stone.

Treatment of oesophageal perforation.

Spontaneous intramural oesophageal perforation.

Spontaneous intramural oesophageal perforation appears at any level, but preferably on the posterior wall, and is usually longitudinal. Unlike the Mallory Weiss and the Boerhaave syndromes, females are more frequently affected. It appears with sudden retrosternal pain radiating to the epigastrium, neck and back, followed by haematemesis of small quantity and dysphagia. Vomiting is rare. In cont...

Treatment of instrumental oesophageal perforation.

Results of a conservative approach in the treatment of instrumental oesophageal perforation were evaluated in 54 patients. The perforations occurred either during introduction of/or manipulation with fibre-endoscopes (six), during dilatation procedures with metal olives (five), mercury bougies (six) or during pneumodilatation (two) in 19 patients without malignancy and during an intubation proc...