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An Eastern perspective on oesophageal perforation: a high incidence of ingested bones.
MedLine Citation:
PMID:  18593413     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Oesophageal perforation is uncommon, with controversy surrounding its optimal management. Our local experience shows a high incidence of oesophageal perforation secondary to ingested bones. METHODS: Fourteen patients with oesophageal perforation treated at Changi General Hospital in Singapore between January 1996 and December 2006 were retrospectively reviewed. RESULTS: The median age was 52 years (16-79 years), with eight men and six women. There were 11 thoracic perforations and 3 cervical perforations. Ten perforations were the result of foreign body ingestion, three were spontaneous and only one was iatrogenic. The offending foreign body was a fish bone in five patients, a chicken bone in four and a tooth in one. Three of our 14 patients were treated surgically. The remaining 11 patients were treated non-operatively. All nine patients with fish or chicken bone perforation were treated conservatively, except two in whom conservative therapy failed and they subsequently required surgery. The median length of hospital stay was 7 days (2-109 days). There was one death. CONCLUSION: Oesophageal perforation requires prompt diagnosis and treatment. Most of our oesophageal perforations are secondary to ingested bones. Such cases can often be treated conservatively in our experience.
Kevin K Sng; Adrian J H Koh; Ngian-Chye Tan; Su-Ming Tan; Khoon-Hean Tay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  78     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-02     Completed Date:  2008-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  573-8     Citation Subset:  IM    
Department of General Surgery, Changi General Hospital, Singapore.
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MeSH Terms
Bone and Bones*
Esophageal Perforation / epidemiology*,  etiology,  therapy
Foreign Bodies / complications*
Middle Aged
Retrospective Studies
Singapore / epidemiology

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