Wewalka F W, Clodi P H, Haidinger D
Department of Internal Medicine, Krankenhaus der Barmherzigen Brüder, Linz, Austria.
Endoscopy. 1995 Oct;27(8):608-11. doi: 10.1055/s-2007-1005768.
A 67-year-old man with a long history of achalasia underwent pneumatic dilation of the lower esophageal sphincter due to increasing dysphagia. During the procedure, a small perforation of the thoracic part of the distal esophagus occurred. Since the rupture was small, well-confined, and detected immediately, the lesion was closed using endoscopically applied metallic clips. The patient did very well, and a contrast swallow three days later showed no leakage of the esophagus. This procedure has not yet been described for the esophagus in the literature, but it may be considered in selected cases of small and well-defined instrumental perforations.
一名患有贲门失弛缓症多年的67岁男性，因吞咽困难加重接受了食管下括约肌气囊扩张术。术中，远端食管胸段出现一个小穿孔。由于破裂口小、局限且立即被发现，遂使用内镜下金属夹封闭病变部位。患者恢复良好，三天后的造影吞咽检查显示食管无渗漏。该手术方法在文献中尚未见食管相关报道，但在某些小的、明确的器械穿孔病例中可考虑采用。
