Figure 5 - Intraoperative view of an esophageal perforation.
From the following article
Surgical therapy for gastroesophageal reflux disease
Renee C. Minjarez and Blair A. Jobe
GI Motility online (2006)
doi:10.1038/gimo56
The blue bougie has perforated the esophagus. Perforations are immediately repaired and followed closely postoperatively. A postoperative barium swallow may be necessary to exclude a leak. There is also usually a period in which the patient remains NPO (nothing by mouth) to allow the perforation to heal. (Source: Courtesy of John Hunter, M.D.)
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