Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment
Esophageal perforation due to transesophageal echocardiogram (TEE) during cardiac surgery is rare. A 72-year-old female underwent TEE during an operation for aortic valve replacement. Further, the patient presented hematemesis. Gastroscopy revealed an esophageal bleeding ulcer. Endoscopic therapy wa...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2014-07-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/365321 |
| _version_ | 1818988933977997312 |
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| author | John Robotis Andreas Karabinis |
| author_facet | John Robotis Andreas Karabinis |
| author_sort | John Robotis |
| collection | DOAJ |
| description | Esophageal perforation due to transesophageal echocardiogram (TEE) during cardiac surgery is rare. A 72-year-old female underwent TEE during an operation for aortic valve replacement. Further, the patient presented hematemesis. Gastroscopy revealed an esophageal bleeding ulcer. Endoscopic therapy was successful. Although a CT scan excluded perforation, the patient became febrile, and a second gastroscopy revealed a big perforation at the site of ulcer. The patient's clinical condition required endoscopic intervention with a new OTSC® clip (Ovesco Endoscopy, Tübingen, Germany). The perforation was successfully sealed. The patient remained on intravenous antibiotics, proton pump inhibitors and parenteral nutrition for few days, followed by enteral feeding. She was discharged fully recovered 3 months later. We clearly demonstrate an effective, less invasive treatment of an esophageal perforation with a new endoscopic clip. |
| first_indexed | 2024-12-20T19:30:28Z |
| format | Article |
| id | doaj.art-14f9497cc67348a29910b33014b7423b |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-20T19:30:28Z |
| publishDate | 2014-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-14f9497cc67348a29910b33014b7423b2022-12-21T19:28:48ZengKarger PublishersCase Reports in Gastroenterology1662-06312014-07-018223523910.1159/000365321365321Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip TreatmentJohn RobotisAndreas KarabinisEsophageal perforation due to transesophageal echocardiogram (TEE) during cardiac surgery is rare. A 72-year-old female underwent TEE during an operation for aortic valve replacement. Further, the patient presented hematemesis. Gastroscopy revealed an esophageal bleeding ulcer. Endoscopic therapy was successful. Although a CT scan excluded perforation, the patient became febrile, and a second gastroscopy revealed a big perforation at the site of ulcer. The patient's clinical condition required endoscopic intervention with a new OTSC® clip (Ovesco Endoscopy, Tübingen, Germany). The perforation was successfully sealed. The patient remained on intravenous antibiotics, proton pump inhibitors and parenteral nutrition for few days, followed by enteral feeding. She was discharged fully recovered 3 months later. We clearly demonstrate an effective, less invasive treatment of an esophageal perforation with a new endoscopic clip.http://www.karger.com/Article/FullText/365321Transesophageal echocardiogramEsophageal perforationEndoscopic treatmentOTSC® clip |
| spellingShingle | John Robotis Andreas Karabinis Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment Case Reports in Gastroenterology Transesophageal echocardiogram Esophageal perforation Endoscopic treatment OTSC® clip |
| title | Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment |
| title_full | Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment |
| title_fullStr | Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment |
| title_full_unstemmed | Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment |
| title_short | Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment |
| title_sort | esophageal perforation due to transesophageal echocardiogram new endoscopic clip treatment |
| topic | Transesophageal echocardiogram Esophageal perforation Endoscopic treatment OTSC® clip |
| url | http://www.karger.com/Article/FullText/365321 |
| work_keys_str_mv | AT johnrobotis esophagealperforationduetotransesophagealechocardiogramnewendoscopiccliptreatment AT andreaskarabinis esophagealperforationduetotransesophagealechocardiogramnewendoscopiccliptreatment |