oa South African Medical Journal - Post-cricoid pharyngo-oesophageal perforation due to endoscopy (325KB )



When perforation occurs after endoscopy, provided the endoscopist is confident that it has not resulted in the region of a pre-existing lesion, it is almost certainly in the post-cricoid area. As soon as the diagnosis is made the perforation should be exposed and sutured. Delay must lead to an increase in the friability of the oesophageal wall with a consequent likelihood of the stitches cutting out, as occurred in the case descriptionbed.


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