Document Detail


Primary endoscopic management of esophageal perforation following transesophageal echocardiogram.
MedLine Citation:
PMID:  15232361     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 90-year-old woman sustained a proximal esophageal perforation following transesophageal echocardiography. The perforation originated at the site of a Zenker's diverticulum and resulted in a false passage to the diaphragm. Initial management involved endoscopic placement of drains into the mediastinum in addition to bilateral chest drains and a gastrostomy. Following stabilization, the patient had repair of her Zenker's diverticulum and recovered uneventfully. We recommend that all procedures involving blind intubation of the esophagus should be preceded with specific pursuit of a background of cervical dysphagia.
Authors:
Marco Antonio Sobrino; Richard Kozarek; Donald Edward Low
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  38     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-02     Completed Date:  2004-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  581-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, Virginia Mason Medical Center, Seattle, WA 98111, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Drainage
Echocardiography, Transesophageal / adverse effects*
Endoscopy, Gastrointestinal / methods*
Esophageal Perforation / etiology,  radiography,  therapy*
Female
Humans
Tomography, X-Ray Computed
Zenker Diverticulum / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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