Miller R E, Bossart P W, Tiszenkel H I
Surgical Service of St. Luke's-Roosevelt Hospital Center, New York, New York 10025.
Am Surg. 1987 Nov;53(11):667-71.
There are a variety of complications associated with upper gastrointestinal endoscopy (EGD) and esophageal dilation including laser therapy. Life-threatening complications, such as perforation and hemorrhage, may require surgical intervention. The records of all patients undergoing EGD and dilation of benign and malignant esophageal strictures including laser therapy at St. Luke's-Roosevelt Hospital Center were reviewed. Complications potentially correctable by operation were found in 18 patients. There were three (16%) deaths, and each was attributed to a delay in diagnosis of perforation and operative correction. The key to successful outcome is a high index of suspicion, radiographic confirmation, and prompt treatment.
上消化道内镜检查（EGD）和食管扩张（包括激光治疗）会引发多种并发症。诸如穿孔和出血等危及生命的并发症可能需要手术干预。我们回顾了在圣卢克 - 罗斯福医院中心接受EGD以及良性和恶性食管狭窄扩张（包括激光治疗）的所有患者的记录。发现18例患者存在可通过手术纠正的并发症。有3例（16%）死亡，每例均归因于穿孔诊断延迟和手术纠正不及时。成功治疗的关键在于高度的怀疑指数、影像学确认以及及时治疗。
