保存的療法にて治癒したファイバースコープによる頸部食道穿孔例

抄録

This report describes a successful conservative treatment of cervical esophageal perforation due to a flexible fiberscopy. The cervical esophagus of a 38-year-old man was perforated during upper gastrointestinal endoscopy using a flexible fiberscopy. Oral intake was withheld and high-dose antibiotics were administered through the central venous system. Body temperature, WBC and CRP were monitored to locate early signs of infection. Surgery was not attempted since the only symptoms seen were an elevated WBC and CRP within 48 hours after the injury, with no further serious infection or abscess. Oral intake was restarted on the 11th day and the patient was discharged on the 13th day. He has shown no subsequent adverse symptoms and has returned to work.