| An Eastern perspective on oesophageal perforation: a high incidence of ingested bones. | |
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MedLine Citation:
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PMID: 18593413 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kevin K Sng; Adrian J H Koh; Ngian-Chye Tan; Su-Ming Tan; Khoon-Hean Tay |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: ANZ journal of surgery Volume: 78 ISSN: 1445-2197 ISO Abbreviation: ANZ J Surg Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-07-02 Completed Date: 2008-08-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 573-8 Citation Subset: IM |
Affiliation:
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Department of General Surgery, Changi General Hospital, Singapore. kevinksng@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Animals Bone and Bones* Chickens Eating* Esophageal Perforation / epidemiology*, etiology, therapy Female Fishes Foreign Bodies / complications* Humans Incidence Male Middle Aged Retrospective Studies Singapore / epidemiology |
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