Delayed presentation of intrathoracic esophageal perforation after pneumatic dilation for achalasia

作     者：Ming-Tzung Lin King-Wah Chiu Yeh-Pin Chou Ming-Chao Tsai Tsung-Hui Hu Chuan-Mo Lee Chi-Sin Changchien Seng-Kee Chuah 

作者机构：Division of HepatogastroenterologyChang Gang Memorial Hospital Kaohsiung 123Ta-Pei RoadNiaosung HsiangKaohsiung Country 833TaiwanChina Chang Gung UniversityCollege of MedicineKaohsiung 833TaiwanChina 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2009年第15卷第35期

页      面：4461-4463页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

基　　金：Author contributions： Lin MT wrote the paper Lin MT  Tai WC  Chiu KW  Chou YP and Tsai MC contributed to this work by direct participation in the work  including substantial contributions to concept and design Hu TH  Lee CM and Changchien CS revised the work critically for important intellectual content Chuah SK designed  performed the work and revised it critically for important intellectual content 

主　　题：穿孔 弛缓 食管 延迟 气囊 局部放电 死亡率 治疗 

摘      要：Pneumatic dilation(PD)is considered to be a safe and effective first line therapy for achalasia.The major adverse event caused by PD is esophageal perforation but an immediate gastrografin test may not always detect a perforation.It has been reported that delayed management of perforation for more than 24 h is associated with high mortality.Surgery is the treatment of choice within 24 h,but the management of delayed perforation remains controversial.Hereby,we report a delayed presentation of intrathoracic esophageal perforation following PD in a 48-year-old woman who suffered from achalasia.She completely recovered after intensive medical care.A review of the literature is also discussed.