Document Detail

Perforation and rupture of the esophagus.
MedLine Citation:
PMID:  6648404     Owner:  NLM     Status:  MEDLINE    
A series of 57 esophageal perforations from the period 1963-1982 is reported. They comprised 42 iatrogenic, instrumental perforations and 15 non-iatrogenic, mainly spontaneous and postemetic ruptures. The clinical manifestations were mostly pain, fever, subcutaneous and mediastinal emphysema, pleural effusion and pneumothorax. Esophageal leak was demonstrated in 73% of contrast studies. The overall mortality rate was 25%. It was 21% in cases with primary suture closure and 50% when treatment consisted of drainage. The mortality rate was 19% when treatment was begun within 24 hours and 35% when there was longer delay. Other factors influencing the mortality rate seemed to be type and location of the perforation and age of the patient. Early surgical intervention is advocated for perforation or rupture of the intrathoracic esophagus. Data in the literature and our own findings indicate that also in cervical esophageal perforations early surgical repair is justifiable.
K Larsen; B Skov Jensen; F Axelsen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of thoracic and cardiovascular surgery     Volume:  17     ISSN:  0036-5580     ISO Abbreviation:  Scand J Thorac Cardiovasc Surg     Publication Date:  1983  
Date Detail:
Created Date:  1984-01-26     Completed Date:  1984-01-26     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:  311-6     Citation Subset:  IM    
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MeSH Terms
Age Factors
Esophageal Diseases / diagnosis,  etiology*,  surgery
Esophageal Perforation / diagnosis,  etiology*,  surgery
Esophagoscopy / adverse effects
Esophagus / injuries
Iatrogenic Disease
Middle Aged
Rupture, Spontaneous
Time Factors
Vomiting / complications

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