title: Successful endoscopic band ligation of esophageal perforation by fish bone ingestion.
abstract: Acute esophageal perforations by foreign body ingestion result in complications such as mediastinitis and retropharyngeal or parapharyngeal abscesses. Because the mortality of esophageal perforation is up to 22%, immediate treatment is critical. Herein, we report a case of successful endoscopic band ligation of esophageal perforation. A 68-year-old man was admitted complaining of substernal pain and dysphagia after ingesting a fish bone. Immediately emergency endoscopy was performed, and the fish bone was observed lodged in the lower esophagus. Although the fish bone was easily removed by an endoscopic rat-tooth forceps, esophageal perforation was found after the procedure. Endoscopic band ligation for perforation was performed. Initial chest computed tomography (CT) showed pneumomediastinum and local inflammation, but follow-up CT showed improved pneumomediastinum. The patient was given oral nutrition 2 weeks after procedure, and he was discharged without any complications. This case report emphasizes for the first time the availability of immediate endoscopic band ligation for acute esophageal perforation.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Hallym University Sacred Heart Hospital, Anyang, Korea.
authors.forename: Jung Sun
authors.initials: JS
authors.lastname: An
authors.forename: Il Hyun
authors.initials: IH
authors.lastname: Baek
authors.forename: Seung Yeon
authors.initials: SY
authors.lastname: Chun
authors.forename: Kyoung Oh
authors.initials: KO
authors.lastname: Kim
mesh_terms: D000368:Aged; D004435:Eating; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D004945:Esophagoscopy; D004947:Esophagus; D005547:Foreign Bodies / Q000150:complications / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D012074:Remission Induction