Esophageal Perforation

Perforation of the esophagus can occur secondary to a number of disparate processes 23 as noted in Table.71-3. Iatrogenic injury is the most frequent cause of esophageal injury, accounting for up to 75 percent of all perforations. Endoscopy, a prime offender, has a lesser rate of perforation when performed on an esophagus free of disease than does endoscopy of a diseased esophagus. Dilation of strictures increases the risk of perforation greatly. Other intraluminal procedures, such as variceal therapy or Sengstaken-Blakemore tubes and palliative laser treatment for cancer, are also associated with perforation. A well-recognized clinical scenario of postemetic perforation, Boerhaave syndrome, is responsible for roughly 10 to 15 percent of esophageal perforations and is discussed below.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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