Endoscopy 1995; 27(8): 608-611
DOI: 10.1055/s-2007-1005768
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Clipping of Esophageal Perforation After Pneumatic Dilation for Achalasia

F. W. Wewalka1 , P. H. Clodi1 , D. Haidinger2
  • 1Department of Internal Medicine, Krankenhaus der Barmherzigen Brüder, Linz, Austria
  • 2Department of Surgery, Krankenhaus der Barmherzigen Brüder, Linz, Austria
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Abstract

A 67-year-old man with a long history of achalasia underwent pneumatic dilation of the lower esophageal sphincter due to increasing dysphagia. During the procedure, a small perforation of the thoracic part of the distal esophagus occurred. Since the rupture was small, well-confined, and detected immediately, the lesion was closed using endoscopically applied metallic clips. The patient did very well, and a contrast swallow three days later showed no leakage of the esophagus. This procedure has not yet been described for the esophagus in the literature, but it may be considered in selected cases of small and well-defined instrumental perforations.