Perforation of the esophagus for any reason on at any level is always a grave lesion and one which, if untreated, is not compatible to life. The clinical symptoms of spontaneous rupture of the esophagus are not generally recognized. The majority of the cases thus far recorded in the literature, now more than 66, were not diagnosed before death and in many instances were not even suspected befor...

Background and study aims Esophageal endoscopic submucosal dissection (ESD) is technically difficult because of narrow working spaces and ease of perforation due to the lack of serosa. HybridKnife is a recently developed ESD device that is combined with the high pressure waterjet ERBEJET 2 system to lift mucosa. We hypothesized that this waterjet could make submucosal dissection safer and studi...

BACKGROUND Ingestion of caustic substances is a medical emergency in both the adult and pediatric population and is associated with high morbidity and mortality. The extent of injuries after ingestion of caustic substances depends on the nature, amount, and concentration of the agent and on the exposure time. Acutely, caustic substances may cause massive hemorrhage and gastrointestinal tract pe...

During a 15-year period from August 1964 to August 1979, 48 patients with gunshot wound of the esophagus (24 of the cervical, 17 of the thoracic, and seven of the abdominal) were treated at Grady Memorial Hospital. In the majority of the patients, the initial history, physical findings, and chest roentgenograms were nondiagnostic for esophageal injury. Esophageal perforation was mainly suspecte...

In Pakistan, carcinoma of the esophagus ranks as the 5th commonest tumour in females and 9th in males. At our centre we see about 20-25 cases of malignant dysphagia each year. In most, the etiology is squamous cell carcinoma with only 2% occurrence of adenocarcinoma secondary to Barrett’s esophagus. Though surgical results with transhiatal esophagectomy have improved over the past decade with b...

Traumatic digestive perforation is the pathological opening of wall a hollow organ tract (esophagus, stomach, small intestine, large rectum, and extrahepatic bile ducts) following trauma. Injuries to viscera, especially from trauma, have been known since antiquity. Aristotle recognized that slight blow can cause an intestinal injury. Perforation sphere results in peritonitis, which this case co...

No consensus has been available to optimize the treatment of delayed esophageal perforation. The present study was to investigate the surgical treatment for delayed esophageal perforation with sternocleidomastoid muscle (SCM) flap after anterior cervical spine surgeries. The diagnosis and treatment of 5 esophageal perforations (May 2004 to January 2013) that occurred in a delayed fashion were r...

The risk of esophageal perforation following endoscopic balloon dilation for achalasia is in the range of 1%-5%, with a mortality rate of 1%-20%. Perforations need to be recognized early, and, if reasonable, an immediate endoscopic repair should be pursued quickly. Herein, we report a case of successful endoscopic closure by clipping of a large iatrogenic perforation in a patient with achalasia...