Full-Thickness Esophageal Perforation After Fluoroscopic Balloon Dilation: Incidence and Management in 820 Adult Patients

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...