63 research outputs found
Complete endoscopic closure (clipping) of a large esophageal perforation after pneumatic dilation in a patient with achalasia
The risk of esophageal perforation following endoscopic balloon dilation for achalasia is in the range of 1 and 5% with a mortality rate of 1-20%. Perforations need to be recognized early and, if reasonable, an immediate endoscopic repair should be pursued quickly. Herein, we report a case of successful endoscopic closure by clipping of a large iatrogenic perforation in a patient with achalasia. An 80-year-old woman with achalasia was admitted to our institution to undergo pneumatic dilation. A 40-mm balloon dilator with inflation pressure of 20 PSI was used for 2 minutes as usual. During the procedure, the patient had a transient bradycardia. Endoscopic control showed a 2-cm rupture of the distal esophagus. Prompt endoscopic repair of the perforation by endoclips (n=6) was then attempted, followed by conservative management by total parenteral nutrition and intravenous antibiotics. Endoscopic clipping closed completely the esophageal perforation. The patient was given oral nutrition 10 days later without any complications. Six months after the discharge, the patient was healthy and free of dysphagia. Endoscopy showed complete healing of the esophageal mucosa without luminal stenosis. This report highlights that prompt endoscopic clipping is a useful means to close a large esophageal perforation caused by pneumatic dilation
Introduction of a prognostic biomarker to strengthen risk stratification of acutely admitted patients: rationale and design of the TRIAGE III cluster randomized interventional trial
Centro Per La Ricerca
This report has been submittedforted 17881 outside of ITC and will probably be copyrighted if accepted for publication. It has been issued as a Technical Reportfort 17 dissemination of its contents. In view of the transfert of copy right tot outside publisher, its distribution outside of ITCprior7 publication should be limited to peer communications andspecific1084 4 After outside publication, material will be available onlyin 1 form authorized by the copyright owne
Conservative approach to granular cell tumour of the oesophagus: three case reports
Granular cell tumour is an uncommon and generally benign lesion. In oesophageal location it is often asymptomatic and incidentally diagnosed at endoscopy. Three cases of granular cell oesophageal tumour are reported, with multiple location in one. In two cases the tumour was removed endoscopically by multiple biopsies
Is preoperative ERCP correlated with higher risk of conversion at laparoscopic cholecystectomy?
Giant leiomyoma of the oesophagus and cardia. Diagnostic and therapeutic considerations: Case report and literature review
A case of giant leiomyoma of the oesophagus and cardia is presented. Magnetic resonance imaging was particularly useful for assessing the relationship of the tumour to the neighbouring structures. Radical resection was performed by partial oesophagogastrectomy with intrathoracic oesophagogastrostomy. Giant oesophageal leiomyomas present a diagnostic and therapeutic challenge because of their size and the possibility of malignant behaviour
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