Successful Endoscopic Removal of a Kerh-Tube Placed in an Iatrogenic Esophageal Perforation: Push to Pull

sophageal perforation is a rare complication during cervial surgery associated with high morbidity and mortality.1--3 urrently, the treatment of esophageal perforations remains ontroversial.1 The use of modified T-tube (Kerh-tube) repair an be a therapeutic option associated with a low mortality ate.4 The authors report a 68-year-old man with a cervial spinal cord lesion submitted to an anterior cervical urgery when a plate fixation removal complicated with n iatrogenic cervical esophageal perforation that was mmediately diagnosed. A T-tube was inserted into the sophagus following debridement of adjacent wall with its nferior portion extending into the stomach. The esophageal all was closed loosely about the tube with sutures placed n the nearest healthy submucosa (Figs. 1 and 2A and B). wo weeks later, an upper endoscopy was performed in rder to remove the T-tube. Using a polypectomy snare 10 mm, Olympus®) the distal end of the Kerh-tube was