title: [Endoscopic treatment of iatrogenic esophageal perforation].
abstract: BACKGROUND
  Esophageal perforations are the most frequent complications of endoscopy of the upper gastrointestinal tract. Life-threatening consequences such as mediastinitis, septic disease, or multiple organ failure are possible. Traditional surgical and conservative methods of treatment should be distinguished. In serious cases, thoracotomy in particular is a high-risk operation.
  
  
  RESULTS
  This case demonstrates the successful endoscopic treatment of an esophageal perforation with mediastinal empyema by fibrin gluing.
  
  
  CONCLUSIONS
  Esophageal perforations up to 20 cm aboral and a maximum diameter of 1.5 cm could be treated by rigid endoscopical fibrin gluing. High-risk patients could be managed effectively avoiding extensive surgery.
authors.affiliation: Klinik für Hals-, Nasen-, Ohrenkrankheiten, Gesichts- und Halschirurgie, Martin-Luther-Universität Halle-Wittenberg.
authors.forename: P
authors.initials: P
authors.lastname: Agha-Mir-Salim
authors.forename: R
authors.initials: R
authors.lastname: Beck
authors.forename: M
authors.initials: M
authors.lastname: Bloching
authors.forename: A
authors.initials: A
authors.lastname: Berghaus
mesh_terms: D000368:Aged; D004653:Empyema / Q000628:therapy; D004939:Esophageal Perforation / Q000628:therapy*; D004945:Esophagoscopy; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006801:Humans; D007049:Iatrogenic Disease; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive