Incidence and management of laser-associated oesophageal perforation

Author:

Tyrrell M R1,Trotter G A1,Adam A1,Mason R C1

Affiliation:

1. Department of Surgery, Guy's Hospital, St Thomas' Street, London SE1 9RT, UK

Abstract

Abstract The incidence of oesophageal perforation in 350 patients referred for laser treatment to palliate malignant dysphagia is reported. Perforation occurred in 6 per cent of patients or 2 per cent of treatment episodes. Perforation was usually due to oesophageal dilatation undertaken before laser treatment (23 of 25 perforations). Immediate recognition and the institution of an aggressive non-operative management protocol resulted in survival in 20 of 23 patients.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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