Home         Other Health Articles       Health Discussions     Disease Information Center

ENDOSCOPY AND PERFORATION OF ESOPHAGUS 

About the author:

Dr. Minocha  is a practicing gastroenterologist and author of "Natural Stomach Care: Treating and Preventing Digestive Disorders with Best of Eastern and Western Therapies"

Read Daily Endoscopy and Perforation of Esophagus Health News/Tips Here

 

Esophageal perforation due to endoscopy is rare and depends on the type of endoscope and intervention used. Rigid endoscopes scopes have higher risk (0.1-1.9%) than the flexible endoscopes (0.007-0.15%).

  • Perforation due to endoscopy has mortality rate of 18-49% with medical management and 16-21% with surgical management. Intrathoracic perforations are at higher risk for mortality than cervical perforations.

 

  • Simple pneumomediastinum due to endoscopy may be difficult to distinguish from perforation. It may occur due to gagging, retching during the procedure.

 

  • Chest x ray may demonstrate sub-cutaneous emphysema, pneumothorax and pneumomediastinum. Contrast studies of esophagus should be done first using gastro-graffin. If this is negative, barium should be used. A negative study does not exclude perforation.

 

  • Patients with pneumothorax need chest tube placement. Management of esophageal perforation is usually surgical emergency since mortality increases with delayed surgery. On rare occasions, a self-contained leak in clinically stable patients without any evidence of infection may be managed medically. In latter case, the patient should be very carefully monitored and an low threshold for surgical intervention should be employed.

 

 
 
Top of Perforation of Esophagus Page

This is NOT a medical consultation. Your doctor is the only one who can best assess your situation and offer you medical advice


 

ABOVE INFORMATION IS BASED ON :

MINOCHA A et al.:Pneumomediastinum As A Complication Of Upper Gastrointestinal Endoscopy. Journal of Emergency Medicine1991

Questions?? Click Here to Join Discussion                                              >>Click Here to Read About Dr. Minocha

>>Other Health and Home Page

A message to all visitors and participants:    Contents of this site are meant for educational and discussion purpose only and should not, in any case, be substituted for a medical consultation.  The information posted or linked to this site should not be used to diagnose or treat a health problem.Your doctor is the only one who can best assess your health situation and give you a medical advice. No responsibility/liability can be accepted for any posted or linked information and  use or misuse thereof. Inclusion on this site in no way implies endorsement for a particular organization, products and/or person/persons and their work. Must read disclaimer ..

Copyright 1999 by diagnosishealth.com. All rights reserved.