Surgical management of complications of upper gastrointestinal endoscopy and esophageal dilation including laser therapy.

There are a variety of complications associated with upper gastrointestinal endoscopy (EGD) and esophageal dilation including laser therapy. Life-threatening complications, such as perforation and hemorrhage, may require surgical intervention. The records of all patients undergoing EGD and dilation of benign and malignant esophageal strictures including laser therapy at St. Luke's-Roosevelt Hospital Center were reviewed. Complications potentially correctable by operation were found in 18 patients. There were three (16%) deaths, and each was attributed to a delay in diagnosis of perforation and operative correction. The key to successful outcome is a high index of suspicion, radiographic confirmation, and prompt treatment.