Management of esophageal perforation

被引：17

作者：

Ökten I. ^{[1
]}

Cangir A.K. ^{[1
]}

ÖzdemIr N. ^{[1
]}

Kavukçu S. ^{[1
]}

Akay H. ^{[1
]}

Yavuzer S. ^{[1
]}

机构：

[1] Department of Thoracic Surgery, Ankara University Medical School, Ankara

来源：

Surgery Today | 2001年 / 31卷 / 1期

关键词：

Esophagus; Perforation; Surgical treatment;

D O I：

10.1007/s005950170217

中图分类号：

学科分类号：

摘要：

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 24 h in 12 patients and more than 24 h 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.

引用

页码：36 / 39

页数：3

共 18 条

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