摘要
We report two cases of delayed esophageal perforation occurring with endoscopic submucosal dissection. Our cases involved delayed perforation after 10 d in case 1 and after 6 d in case 2. Both cases were related to solid food. We performed subtotal esophagectomy with gastric tube reconstruction of the esophagus via the subcutaneous route anterior to the thoracic wall without conservative treatment because both cases involved chest pain and major leakage of food into the mediastinum. Postoperative complications were a local factor(including suture failure and esophageal stricture) in case 1, and we performed endoscopic balloon dilatation five times for esophageal stricture. There was no intrathoracic and mediastinal infection in either case. Surgical treatment for delayed esophageal perforation can be performed safely and surely if diagnosis and assessment are not delayed.
We report two cases of delayed esophageal perforationoccurring with endoscopic submucosal dissection. Ourcases involved delayed perforation after 10 d in case1 and after 6 d in case 2. Both cases were related tosolid food. We performed subtotal esophagectomywith gastric tube reconstruction of the esophagus viathe subcutaneous route anterior to the thoracic wallwithout conservative treatment because both casesinvolved chest pain and major leakage of food intothe mediastinum. Postoperative complications were alocal factor （including suture failure and esophagealstricture） in case 1, and we performed endoscopicballoon dilatation five times for esophageal stricture.There was no intrathoracic and mediastinal infection ineither case. Surgical treatment for delayed esophagealperforation can be performed safely and surely ifdiagnosis and assessment are not delayed.
基金
Supported by The Department of Surgery,Kishiwada Tokushukai Hospital,Osaka,Japan
