title: Successfully treated case of cervical abscess and mediastinitis due to esophageal perforation after gastrointestinal endoscopy.
abstract: 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.
authors.affiliation: First Department of Surgery, Juntendo University School of Medicine, Ouji Hospital, Tokyo, Japan. shinn@eb.mbn.or.jp
authors.forename: S
authors.initials: S
authors.lastname: Sato
authors.forename: Y
authors.initials: Y
authors.lastname: Kajiyama
authors.forename: T
authors.initials: T
authors.lastname: Kuniyasu
authors.forename: M
authors.initials: M
authors.lastname: Machida
authors.forename: K
authors.initials: K
authors.lastname: Ouchi
authors.forename: N
authors.initials: N
authors.lastname: Sakai
authors.forename: S
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Y
authors.initials: Y
authors.lastname: Iwanuma
authors.forename: T
authors.initials: T
authors.lastname: Kamano
authors.forename: S
authors.initials: S
authors.lastname: Okamura
authors.forename: A
authors.initials: A
authors.lastname: Nagahama
authors.forename: M
authors.initials: M
authors.lastname: Tsurumaru
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents