Management of esophageal perforation

Okten I., Cangir A., Ozdemir N., KAVUKÇU S., Akay H., Yavuzer S.

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, cilt.31, sa.1, ss.36-39, 2001 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 1
  • Basım Tarihi: 2001
  • Doi Numarası: 10.1007/s005950170217
  • Dergi Adı: SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.36-39
  • Anahtar Kelimeler: esophagus, perforation, surgical treatment, PRIMARY REPAIR, NONOPERATIVE MANAGEMENT, CHALLENGE
  • Ankara Üniversitesi Adresli: Evet

Özet

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 in eluded 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.