Iatrogenic esophageal submucosal dissection after attempted diagnostic gastroscopy (with videos)
作者： Shou-jiang Tang , Linda Tang , Saad F. Jazrawi , Dan Meyer , Michael A. Wait
DOI: 10.1002/LARY.20006
关键词:
摘要: Diagnostic esophagogastroduodenoscopy (EGD) is generally a very safe procedure. We report the first case of iatrogenic esophageal submucosal dissection after an attempted diagnostic gastroscopy in patient with small previously undiagnosed Zenker's diverticulum (ZD). After EGD, she developed severe dysphagia inability to swallow solids, liquids, and even her own saliva. On barium study, there was column contrast below upper sphincter, this misdiagnosed as large ZD by radiologist. The resultant stricture successfully managed endoscopic balloon dilatation under fluoroscopy wire-guided cannulation. treated flexible clip-assisted diverticulotomy. Iatrogenic unique complication endoscopy. Endoscopists, otolaryngologists, radiologists, cardiothoracic surgeons should be aware condition prepare manage it appropriately. If stable possibility perforation small, conservative supportive care can tried first. A surgical gastrostomy tube placed for enteral feeding. In patients ZD, recognition gentle manipulation strongly recommended during intubation.
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