Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Nov 27;10(11):e6620.
doi: 10.1002/ccr3.6620. eCollection 2022 Nov.

Endoscopic clipping of a complicated esophageal perforation following pneumatic dilation for achalasia: A case study and literature review

Affiliations
Case Reports

Endoscopic clipping of a complicated esophageal perforation following pneumatic dilation for achalasia: A case study and literature review

Mohammad Minakari et al. Clin Case Rep. .

Abstract

A transmural esophageal tear complicated by large size and unusual location was diagnosed in a 59-year-old man after undergoing pneumatic balloon dilation for achalasia. It was closed with six endo-clips. The patient recovered and was discharged with ordinary diet 8 days later, after receiving supportive care for a week.

Keywords: achalasia; case report; endoscopic clipping; esophageal perforation; pneumatic balloon dilation.

PubMed Disclaimer

Figures

FIGURE 1
FIGURE 1
Upper gastrointestinal radiograph after barium swallow showing a typical “bird‐beak” view indicative of achalasia
FIGURE 2
FIGURE 2
Direct endoscopic view of the patient's post‐PBD transmural esophageal tear closed with six endo‐clips

References

    1. Felix VN. Results of pneumatic dilation in treating achalasia: predictive factors. Ann N Y Acad Sci. 2018;1434(1):124‐131. doi:10.1111/nyas.13844 - DOI - PubMed
    1. Vanuytsel T, Lerut T, Coosemans W, et al. Conservative management of esophageal perforations during pneumatic dilation for idiopathic esophageal achalasia. Clin Gastroenterol Hepatol. 2012;10(2):142‐149. - PubMed
    1. Madanick RD. Medical management of iatrogenic esophageal perforations. Curr Treat Options Gastroenterol. 2008;11(1):54‐63. - PubMed
    1. Sánchez‐Pernaute A, Aguirre EP, Talavera P, et al. Laparoscopic approach to esophageal perforation secondary to pneumatic dilation for achalasia. Surg Endosc. 2009;23(5):1106‐1109. - PubMed
    1. Hunt DR, Wills VL, Weiss B, Jorgensen JO, DeCarle DJ, Cook IJ. Management of esophageal perforation after pneumatic dilation for achalasia. J Gastrointest Surg. 2000;4(4):411‐415. - PubMed

Publication types

LinkOut - more resources