Endoscopic stent placement for perforation after pneumatic dilation in achalasia.

ABSTRACT:

Background and aims

Esophageal perforation after pneumatic dilation for achalasia is a rare but life-threatening adverse event. We report a case of a large iatrogenic esophageal tear successfully managed with endoscopic stent placement.

Methods

A 67-year-old man with achalasia underwent pneumatic balloon dilation under general anesthesia. A 5-cm distal esophageal tear was discovered on re-examination and was immediately treated with placement of a fully covered self-expandable metal stent, secured with an endoscopic suture. Supportive care included no oral intake, enteral feeding via a nasojejunal tube, and intravenous antibiotics.

Results

The stent effectively sealed the perforation, and the patient remained stable with no signs of sepsis. No surgical intervention wa

SUBMITTER: Singh Rekhraj A 

PROVIDER: S-EPMC12744734 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature