title: Oesophageal perforation following endoscopic variceal ligation and balloon tamponade.
abstract: Endoscopic variceal ligation (EVL) related complication is rarely reported. A case is presented of a 74 year old man with oesophageal variceal bleeding who developed oesophageal perforation following EVL and balloon tamponade. An oesophageal wall defect was induced by EVL and tissue repair was hindered by decompensated liver reserve and shock status; concomitant balloon tamponade precipitated oesophageal perforation. The case is reported to draw attention to oesophageal perforation after concurrent use of balloon tamponade and EVL.
authors.affiliation: Department of Medicine, Veterans General Hospital-Taipei, Taiwan, Republic of China.
authors.forename: M C
authors.initials: MC
authors.lastname: Hou
authors.forename: H C
authors.initials: HC
authors.lastname: Lin
authors.forename: F Y
authors.initials: FY
authors.lastname: Chang
authors.forename: F Y
authors.initials: FY
authors.lastname: Lee
authors.forename: T S
authors.initials: TS
authors.lastname: Chen
authors.forename: S D
authors.initials: SD
authors.lastname: Lee
mesh_terms: D000368:Aged; D021721:Balloon Occlusion; D002404:Catheterization / Q000009:adverse effects*; D004939:Esophageal Perforation / Q000209:etiology*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000009:adverse effects*; D006801:Humans; D008026:Ligation / Q000009:adverse effects / Q000379:methods; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male