Gastrointestinal perforation other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

Gastrointestinal perforation Microchapters
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Differentiating gastrointestinal perforation from other diseases
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Overview

• Endoscopy is an important tool for evaluating patients with suspected esophageal perforation, particularly following instrumentation, or related to noniatrogenic trauma [103,104].
• Endoscopy allows direct inspection of the perforation and, in some cases, a therapeutic option.
• Endoscopy may show local erythema or spasm and essentially excludes the presence of the mucosal lesion.
• The disadvantage is the potential for causing a perforation with instrumentation.
• CT is obtained first because of its sensitivity and wide availability [105].

Video shows upper endoscopy of perforated esophagus

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