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.
Was this article helpful?
This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.