A 72-year woman with a history of multiple cerebrovascular accidents presented with severe epigastric pain. An oesophageal perforation by the tip of a Ryles tube, which had migrated into the mediastinum, was diagnosed by radiography. An attempt at pushing the nasogastric tube into the stomach resulted in increasing the rupture to about 6 cm in size. Replacement by a triple-lumen nasojejunal feeding tube and subsequent feeding with c.1,400 calories per day enabled the perforation to close without further intervention.
VidarsdottirHBlondalSAlfredssonH, et al.Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome. Thorac Cardiovasc Surg2010; 58: 476–480.
2.
KamanLIqbalJKundilB,et al.Management of esophageal perforation in adults. Gastroenterol Res2010; 3: 235–244.
3.
BrinsterCJSinghalSLeeL, et al.Evolving options in the management of esophageal perforation. Ann Thorac Surg2004; 77: 1475–1483.
4.
ScolapioJS. Methods for decreasing risk of aspiration pneumonia in critically ill patients. JPEN J Parenter Enteral Nutr2002; 26: S58–S61.
5.
GePSThompsonCC. The use of the overstitch to close perforations and fistulas. Gastrointest Endosc Clin N Am2020; 30: 147–161.
6.
PatilGIyerADalalA,et al.The usefulness of an endoscopic OverStitch suturing system for managing anastomotic dehiscence – a case report. GE Port J Gastroenterol2020; 27: 434–438.
