Cervical esophageal perforation caused by diagnostic flexible esophagoscopy
Prinsley, P.R.; Murrant, N.J.
Journal of Otolaryngology 18(6): 314-316
1989
ISSN/ISBN: 0381-6605 PMID: 2585597 Document Number: 343509
Two cases of iatrogenic cervical esophageal perforation caused by diagnostic flexible fiberoptic endoscopy are described. The relative risks of performation at fiberoptic and rigid esophagoscopy are discussed and the importance of contrast radiology and early diagnosis are emphasized. Cases with a small tear and minimal contamination may be treated conservatively. Early surgical repair with drainage is otherwise the treatment of choice for cervical esophageal perforation. Even if there has been abscess formation tracking down into the mediastinum, drainage can be successfully achieved via the neck, avoiding the need for thoracotomy.