| Literature DB >> 32737024 |
Sushil Rodrigues Ranjan1, Samit Majumdar2, Jaiganesh Manickavasagam3,4, Susanne Flach5.
Abstract
An 85-year-old man suffering from oropharyngeal dysphagia due to a pharyngeal pouch and cricopharyngeal spasm underwent endoscopic stapling of the pouch under general anaesthesia. During the procedure, an iatrogenic perforation of the oesophagus was noticed. After considering several options, 5 mL of Tisseel tissue glue was used to seal the perforation intraoperatively. The patient was started on intravenous co-amoxiclav, kept nil by mouth and fed via a nasogastric tube. After 4 days of observation mediastinal collection and any leakage was ruled out with a gastrografin contrast swallow procedure. At this point he was considered safe for oral intake. © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.Entities:
Keywords: cancer intervention; ear, nose and throat/otolaryngology; gastroenterology; oesophagus
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Year: 2020 PMID： 32737024 PMCID： PMC7401996 DOI： 10.1136/bcr-2019-232568
Source DB: PubMed Journal: BMJ Case Rep ISSN： 1757-790X