Document Detail

Advisability of concomitant immediate surgery for perforation and underlying disease of the esophagus.
MedLine Citation:
PMID:  6528278     Owner:  NLM     Status:  MEDLINE    
Since 1979 our policy for management of esophageal perforation has included correction of underlying esophageal disorder as part of the initial treatment in selected cases. A series of 23 patients is presented, of whom 3 were managed conservatively and 20 surgically. The overall mortality rate was 8.7%. Concomitant operation of underlying esophageal disease and perforation was done in eight cases within 12 hours of the perforation. These operations included emergency resection and esophagogastrostomy in five patients (4 with stenosis and 1 with cancer). A Heller myotomy was done in addition to suture repair in two patients with achalasia, and a Belsey Mark IV hernia repair was added to the esophageal suture closure in a patient with gastroesophageal reflux and hiatal hernia. A postoperative fistula healed spontaneously in one of the eight patients, and the early postoperative course was uncomplicated in the other seven. Simultaneous correction of underlying esophageal disease in patients with iatrogenic perforation of the esophagus seems to be safe when perforation is diagnosed at an early stage. Such a radical approach is clearly beneficial.
S Larsson; G Pettersson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of thoracic and cardiovascular surgery     Volume:  18     ISSN:  0036-5580     ISO Abbreviation:  Scand J Thorac Cardiovasc Surg     Publication Date:  1984  
Date Detail:
Created Date:  1985-04-12     Completed Date:  1985-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0121343     Medline TA:  Scand J Thorac Cardiovasc Surg     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  275-8     Citation Subset:  IM    
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MeSH Terms
Esophageal Diseases / complications
Esophageal Perforation / complications,  surgery*
Esophageal Stenosis / surgery
Esophagus / surgery
Middle Aged
Postoperative Complications / mortality
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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