Successfully treated case of cervical abscess and mediastinitis due to esophageal perforation after gastrointestinal endoscopy

Perforations of the esophagus are uncommon complications of flexible gastrointestinal endoscopy. Perforations after endoscopy are likely to occur in the cervical esophagus, where fiber insertion is difficult anatomically. The diagnosis should be made as soon as possible, because mediastinitis and se...

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Bibliographic Details
Published in:Diseases of the esophagus 2002-01, Vol.15 (3), p.250-252
Main Authors: Sato, S., Kajiyama, Y., Kuniyasu, T., Machida, M., Ouchi, K., Sakai, N., Sakamoto, S., Iwanuma, Y., Kamano, T., Okamura, S., Nagahama, A., Tsurumaru, M.
Format: Article
Language:English
Subjects:
Abscess - diagnosis
Abscess - etiology
Abscess - therapy
Adult
Anti-Bacterial Agents - therapeutic use
Drainage - methods
Endoscopy, Gastrointestinal - adverse effects
Endoscopy, Gastrointestinal - methods
Esophageal Perforation - diagnosis
Esophageal Perforation - etiology
Esophageal Perforation - surgery
Follow-Up Studies
Humans
Iatrogenic Disease
Male
Mediastinitis - diagnosis
Mediastinitis - etiology
Mediastinitis - therapy
Risk Assessment
Treatment Outcome
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Summary:Perforations of the esophagus are uncommon complications of flexible gastrointestinal endoscopy. Perforations after endoscopy are likely to occur in the cervical esophagus, where fiber insertion is difficult anatomically. The diagnosis should be made as soon as possible, because mediastinitis and sepsis frequently develop following esophageal perforations. The surgical strategies are dependent on the location of the perforations and the condition of the patients. For a successful outcome, surgery is a preferred treatment for most perforation cases, and non‐operative treatment, such as antibiotics, parental nutrition, and no food intake by mouth, should be applied carefully.
ISSN:1120-8694
1442-2050
DOI:10.1046/j.1442-2050.2002.00253.x