Abstract
Objective: We present a case of pharyngeal perforation caused by gastrointestinal endoscopy that was successfully repaired with transoral mucosal sutures. This is the first report of a transoral surgical closure of a perforation caused by an endoscope. We describe the repair procedure, the necessary equipment, and the effectiveness of suturing pharyngeal perforations. Patient: An 87-year-old woman brought to our emergency department by ambulance because of hematemesis and endoscopic hemostasis was successfully performed. But after hemostasis, CT scan showed emphysema extending from the right lower jaw to the superior mediastinum and pharyngeal perforation was observed by laryngeal fiberscope. Intervention: Even though she had received conservative treatment, exacerbation of inflammation was observed and therefore we performed transoral surgery for closing the pharyngeal perforation. Main outcome measure: We followed up with CT scans, blood test and vital signs. Results: The pharyngeal perforation smoothly closed and exacerbation of inflammation was not observed, even after oral ingestion began. Conclusion: Transoral closure of a pharyngeal perforation is less invasive and performing this procedure at an early stage can lead to a favorable outcome.
| Original language | English |
|---|---|
| Pages (from-to) | 113-117 |
| Number of pages | 5 |
| Journal | Auris Nasus Larynx |
| Volume | 41 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2014 Feb |
| Externally published | Yes |
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Keywords
- Pharyngeal perforation
- Transoral surgey
- Weerda distending laryngoscope
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy. / Wasano, Koichiro; Hashiguchi, Sayuri; Suzuki, Noriomi; Kawasaki, Taiji; Nameki, Ichirota; Nameki, Hideo.
In: Auris Nasus Larynx, Vol. 41, No. 1, 02.2014, p. 113-117.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy
AU - Wasano, Koichiro
AU - Hashiguchi, Sayuri
AU - Suzuki, Noriomi
AU - Kawasaki, Taiji
AU - Nameki, Ichirota
AU - Nameki, Hideo
PY - 2014/2
Y1 - 2014/2
N2 - Objective: We present a case of pharyngeal perforation caused by gastrointestinal endoscopy that was successfully repaired with transoral mucosal sutures. This is the first report of a transoral surgical closure of a perforation caused by an endoscope. We describe the repair procedure, the necessary equipment, and the effectiveness of suturing pharyngeal perforations. Patient: An 87-year-old woman brought to our emergency department by ambulance because of hematemesis and endoscopic hemostasis was successfully performed. But after hemostasis, CT scan showed emphysema extending from the right lower jaw to the superior mediastinum and pharyngeal perforation was observed by laryngeal fiberscope. Intervention: Even though she had received conservative treatment, exacerbation of inflammation was observed and therefore we performed transoral surgery for closing the pharyngeal perforation. Main outcome measure: We followed up with CT scans, blood test and vital signs. Results: The pharyngeal perforation smoothly closed and exacerbation of inflammation was not observed, even after oral ingestion began. Conclusion: Transoral closure of a pharyngeal perforation is less invasive and performing this procedure at an early stage can lead to a favorable outcome.
AB - Objective: We present a case of pharyngeal perforation caused by gastrointestinal endoscopy that was successfully repaired with transoral mucosal sutures. This is the first report of a transoral surgical closure of a perforation caused by an endoscope. We describe the repair procedure, the necessary equipment, and the effectiveness of suturing pharyngeal perforations. Patient: An 87-year-old woman brought to our emergency department by ambulance because of hematemesis and endoscopic hemostasis was successfully performed. But after hemostasis, CT scan showed emphysema extending from the right lower jaw to the superior mediastinum and pharyngeal perforation was observed by laryngeal fiberscope. Intervention: Even though she had received conservative treatment, exacerbation of inflammation was observed and therefore we performed transoral surgery for closing the pharyngeal perforation. Main outcome measure: We followed up with CT scans, blood test and vital signs. Results: The pharyngeal perforation smoothly closed and exacerbation of inflammation was not observed, even after oral ingestion began. Conclusion: Transoral closure of a pharyngeal perforation is less invasive and performing this procedure at an early stage can lead to a favorable outcome.
KW - Pharyngeal perforation
KW - Transoral surgey
KW - Weerda distending laryngoscope
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UR - http://www.scopus.com/inward/citedby.url?scp=84892484276&partnerID=8YFLogxK
U2 - 10.1016/j.anl.2013.07.005
DO - 10.1016/j.anl.2013.07.005
M3 - Article
C2 - 23916242
AN - SCOPUS:84892484276
VL - 41
SP - 113
EP - 117
JO - Auris Nasus Larynx
JF - Auris Nasus Larynx
SN - 0385-8146
IS - 1
ER -