Swedlund A, Traube M, Siskind B N, McCallum R W
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510.
Dig Dis Sci. 1989 Mar;34(3):379-84. doi: 10.1007/BF01536259.
Perforation of the esophagus is a well-described complication of pneumatic dilatation in patients with achalasia. Although successful management of these patients without surgical intervention has been reported, little follow-up data exist. We report the successful nonsurgical management of esophageal perforation after pneumatic dilatation in three patients. Manometric and radionuclide esophageal emptying studies in these patients showed satisfactory results after the dilatations despite the occurrence of perforation, and the excellent symptomatic response has been maintained during a follow-up period ranging from one to four years.
食管穿孔是贲门失弛缓症患者经皮球囊扩张术的一种常见并发症。尽管已有报道称这些患者无需手术干预即可成功治疗，但随访数据较少。我们报告了3例经皮球囊扩张术后食管穿孔的非手术成功治疗病例。这些患者的测压和放射性核素食管排空研究显示，尽管发生了穿孔，但扩张术后结果令人满意，并且在1至4年的随访期内症状得到了显著改善。
