title: Delayed esophageal perforation occurring with endoscopic submucosal dissection: A report of two cases.
abstract: We report two cases of delayed esophageal perforation occurring with endoscopic submucosal dissection. Our cases involved delayed perforation after 10 d in case 1 and after 6 d in case 2. Both cases were related to solid food. We performed subtotal esophagectomy with gastric tube reconstruction of the esophagus via the subcutaneous route anterior to the thoracic wall without conservative treatment because both cases involved chest pain and major leakage of food into the mediastinum. Postoperative complications were a local factor (including suture failure and esophageal stricture) in case 1, and we performed endoscopic balloon dilatation five times for esophageal stricture. There was no intrathoracic and mediastinal infection in either case. Surgical treatment for delayed esophageal perforation can be performed safely and surely if diagnosis and assessment are not delayed.
authors.affiliation: Yasuhiro Matsuda, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Kazuki Sakamoto, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Matsuda
authors.affiliation: Yasuhiro Matsuda, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Kazuki Sakamoto, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Kataoka
authors.affiliation: Yasuhiro Matsuda, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Kazuki Sakamoto, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Yamaguchi
authors.affiliation: Yasuhiro Matsuda, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Kazuki Sakamoto, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Tomita
authors.affiliation: Yasuhiro Matsuda, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Kazuki Sakamoto, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Sakamoto
authors.affiliation: Yasuhiro Matsuda, Naoki Kataoka, Tomoyuki Yamaguchi, Masafumi Tomita, Kazuki Sakamoto, Shinichiro Makimoto, Department of Surgery, Kishiwada Tokushukai Hospital, Osaka 596-8522, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Makimoto
keywords: Delayed perforation; Endoscopic submucosal dissection; Esophageal cancer