Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy

Koichiro Wasano, Sayuri Hashiguchi, Noriomi Suzuki, Taiji Kawasaki, Ichirota Nameki, Hideo Nameki

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)113-117
Number of pages5
JournalAuris Nasus Larynx
Volume41
Issue number1
DOIs
Publication statusPublished - 2014 Feb
Externally publishedYes

Fingerprint

Gastrointestinal Endoscopy
Endoscopic Hemostasis
Inflammation
Hematemesis
Ambulances
Vital Signs
Endoscopes
Emphysema
Mediastinum
Hematologic Tests
Jaw
Hemostasis
Sutures
Hospital Emergency Service
Eating
Outcome Assessment (Health Care)
Equipment and Supplies
Conservative Treatment

Keywords

  • Pharyngeal perforation
  • Transoral surgey
  • Weerda distending laryngoscope

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Wasano, K., Hashiguchi, S., Suzuki, N., Kawasaki, T., Nameki, I., & Nameki, H. (2014). Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy. Auris Nasus Larynx, 41(1), 113-117. https://doi.org/10.1016/j.anl.2013.07.005

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 journalArticle

Wasano, K, Hashiguchi, S, Suzuki, N, Kawasaki, T, Nameki, I & Nameki, H 2014, 'Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy', Auris Nasus Larynx, vol. 41, no. 1, pp. 113-117. https://doi.org/10.1016/j.anl.2013.07.005
Wasano K, Hashiguchi S, Suzuki N, Kawasaki T, Nameki I, Nameki H. Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy. Auris Nasus Larynx. 2014 Feb;41(1):113-117. https://doi.org/10.1016/j.anl.2013.07.005
Wasano, Koichiro ; Hashiguchi, Sayuri ; Suzuki, Noriomi ; Kawasaki, Taiji ; Nameki, Ichirota ; Nameki, Hideo. / Transoral closure of pharyngeal perforation caused by gastrointestinal endoscopy. In: Auris Nasus Larynx. 2014 ; Vol. 41, No. 1. pp. 113-117.
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