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- W2328623296 abstract "A 77-year-old woman with osteogenesis imperfecta was admitted with symptomatic choledocholithiasis. Endoscopic retrograde cholangiopancreatography (ERCP) was carried out and mild resistance was encountered in the distal esophagus with “red out” during intubation. The duodenoscope was withdrawn and gastroscopy revealed a tear in the distal esophagus ([Fig. 1]). As a perforation was suspected, a nasogastric tube was deployed, intravenous antibiotics were started, and surgery was consulted. An esophagogram confirmed the esophageal leak ([Fig. 2]) and thoraco-abdominal computed tomography (CT) showed a 0.7-cm esophageal perforation and air–fluid collection (3 cm × 10 cm) in the posterior mediastinum ([Fig. 3]). Conservative management was decided on due to clinical stability and poor operative candidacy. Within 48 hours the liver function tests normalized and parenteral nutrition was started. The day 7 esophagogram showed partial healing. Enteral feeding was started with a nasojejunal tube placed fluoroscopically. An esophagogram on day 27 showed complete healing ([Fig. 4]). The patient started an oral diet and was discharged with plan for elective cholecystectomy." @default.
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- W2328623296 date "2012-06-19" @default.
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- W2328623296 title "Endoscopic retrograde cholangiopancreatography (ERCP)-related esophageal perforation in osteogenesis imperfecta" @default.
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- W2328623296 doi "https://doi.org/10.1055/s-0032-1308930" @default.
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