[Endoscopic treatment of iatrogenic esophageal perforation].
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.
Agha-Mir-Salim
P
P
Klinik für Hals-, Nasen-, Ohrenkrankheiten, Gesichts- und Halschirurgie, Martin-Luther-Universität Halle-Wittenberg.
Beck
R
R
Bloching
M
M
Berghaus
A
A
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
D015718:Fibrin Tissue Adhesive