Wasano Koichiro, Hashiguchi Sayuri, Suzuki Noriomi, Kawasaki Taiji, Nameki Ichirota, Nameki Hideo
Department of Otolaryngology, Head, and Neck Surgery Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan; Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Department of Otolaryngology, Head, and Neck Surgery Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Auris Nasus Larynx. 2014 Feb;41(1):113-7. doi: 10.1016/j.anl.2013.07.005. Epub 2013 Aug 1.
We present a case of pharyngeal perforation caused by gastrointestinal endoscopy that was successfully repaired with transoral mucosal sutures. This is the first report of a transoral surgical closure of a perforation caused by an endoscope. We describe the repair procedure, the necessary equipment, and the effectiveness of suturing pharyngeal perforations.
An 87-year-old woman brought to our emergency department by ambulance because of hematemesis and endoscopic hemostasis was successfully performed. But after hemostasis, CT scan showed emphysema extending from the right lower jaw to the superior mediastinum and pharyngeal perforation was observed by laryngeal fiberscope.
Even though she had received conservative treatment, exacerbation of inflammation was observed and therefore we performed transoral surgery for closing the pharyngeal perforation.
We followed up with CT scans, blood test and vital signs.
The pharyngeal perforation smoothly closed and exacerbation of inflammation was not observed, even after oral ingestion began.
Transoral closure of a pharyngeal perforation is less invasive and performing this procedure at an early stage can lead to a favorable outcome.
我们报告一例因胃肠内镜检查导致的咽穿孔病例，该病例通过经口黏膜缝合成功修复。这是首例关于经口手术闭合内镜所致穿孔的报告。我们描述了修复过程、所需设备以及缝合咽穿孔的有效性。
一名87岁女性因呕血被救护车送至我院急诊科，内镜止血成功。但止血后，CT扫描显示气肿从右下颌延伸至纵隔上部，喉镜检查发现咽穿孔。
尽管她接受了保守治疗，但炎症仍有加重，因此我们进行了经口手术以闭合咽穿孔。
我们通过CT扫描、血液检查和生命体征进行随访。
咽穿孔顺利闭合，即使开始经口进食后也未观察到炎症加重。
经口闭合咽穿孔的侵入性较小，早期进行该手术可获得良好效果。
