Full-thickness esophageal perforation after fluoroscopic balloon dilation: incidence and management in 820 adult patients

Wei Zhong Zhou, Ho Young Song, Jung Hoon Park, Young Chul Cho, Eun Jung Jun, Jihong Park, Soo Hwan Kim

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

OBJECTIVE. The purpose of this study is to investigate the incidence, management, and outcomes of esophageal perforation after fluoroscopic balloon dilation in 820 adult patients with esophageal diseases. MATERIALS AND METHODS. Between December 1990 and April 2014, a total of 820 adult patients (age range, 21-93 years) underwent 1869 fluoroscopic balloon dilation sessions (mean, 2.3 sessions/patient; range, 1-29 sessions/patient) for esophageal diseases. We retrospectively reviewed the prospectively collected medical records and images of these patients and collected the data of patients who developed esophageal perforations after fluoroscopic balloon dilation. RESULTS. During this period, 12 patients (six men and six women; mean age, 51 years; age range, 28-69 years) developed perforations. The perforation rate was 1.5% per patient and 0.6% per dilation. Among the first eight patients, four who were treated with surgery had perforations 2 cm or larger, and the other four who underwent fasting, parenteral alimentation, and treatment with antibiotics had perforations smaller than 2 cm. The last four patients underwent stent placement immediately after the diagnosis, regardless of the perforation's size. The median hospital stay was 11.5 days. CONCLUSION. Fluoroscopic balloon dilation of esophageal diseases is a safe procedure with a low perforation rate. A perforation size greater than 2 cm is considered large and requires aggressive treatment. Although the number of patients with esophageal perforation we treated is relatively small and further clinical trials are needed, temporary stent placement seems to be an initial choice in the management of esophageal perforations after fluoroscopic balloon dilation.

Original languageEnglish (US)
Pages (from-to)1115-1119
Number of pages5
JournalAmerican Journal of Roentgenology
Volume204
Issue number5
DOIs
StatePublished - May 1 2015
Externally publishedYes

Keywords

  • Balloon dilation
  • Esophageal perforation
  • Esophageal stenosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Full-thickness esophageal perforation after fluoroscopic balloon dilation: incidence and management in 820 adult patients'. Together they form a unique fingerprint.

  • Cite this