Management of esophageal perforation.

Abstract:

:Despite recent advances in thoracic surgery, the management of esophageal perforation remains problematical and controversial. Thirty-one patients were treated for an esophageal perforation between 1986 and 1998. The esophageal perforation was iatrogenic in 25 cases, spontaneous in 2, traumatic in 2, and caused by a tumor and tuberculous lymphadenitis in 2 patients. There were 10 cervical, 19 thoracic, and 2 abdominal perforations. The interval from perforation to operation was less than 24h in 12 patients and more than 24h in 19 patients. The surgical procedures included a primary repair in 12 patients, a resection in 8, and conservative treatment with minor surgical approaches in 11. The mortality rate was 20% (4/20 patients) in the surgical treatment group and 45.5% (5/11 patients) in the conservative treatment with minor surgery group. The overall mortality was 29% (9/31 patients). The prognosis is thus concluded to depend on the cause and location of the perforation, the presence of underlying esophageal diseases, and the surgical procedure chosen.

journal_name

Surg Today

journal_title

Surgery today

authors

Okten I,Cangir AK,Ozdemir N,Kavukçu S,Akay H,Yavuzer S

doi

10.1007/s005950170217

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

36-9

issue

1

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950170217

journal_volume

31

pub_type

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