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Results for “ESOPHAGEAL PERFORATION”

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PubMed1975

Esophageal repair following late diagnosis of intrathoracic perforation.

Multiple techniques, often complex, have been used to repair the esophagus following spontaneous, instrumental, or postsurgical perforation, especially when the diagnosis of perforation has been delayed. We have closed such perforations by wrapping a pedicled pleural flap around the esophagus, suturing it firmly over the area of leakage and around its margins. Due to inflammatory changes secondary to perforation, the flap is thickened and easily applied. Four patients were treated with this technique with success in every case. One patient with achalasia had sustained perforation three days prior to repair, another 30 hours following leakage at an esophageal suture line, the third 20 hours following esophagoscopic extraction of a necrosing foreign body, and the fourth 8 hours following hydrostatic bougienage for achalasia.

Adult↗
PubMed1971

Perforation of the pharynx in the newborn: a condition mimicking esophageal atresia.

Three cases of perforation of the pharynx in the newborn are presented. This condition resembles esophageal atresia, in that: (a) the symptoms are identical; (b) in both conditions there is failure to pass a nasogastric tube; (c) opacification of the esophagus through a nasogastric tube gives x-ray pictures confusingly similar. Careful examination of the radiographs can differentiate the two conditions. Although the three patients presented were operated on, conservative treatment is probably adequate for this condition.

Diagnosis, Differential↗
PubMed1981

Perforation of the oesophagus: experience in a general hospital.

The results of a retrospective study of 62 patients who sustained perforation of the oesophagus during the period 1956--78 are reviewed. Oesophageal instrumentation was implicated in 40 patients. A total of 69 per cent of perforations occurred in the lower third; 45 per cent of patients remained undiagnosed for at least 24 h and in 23 patients remained undiagnosed for at least 24 h in 23 per cent the diagnosis was made only at post-mortem examination. Operative and non-operative management resulted in mortality rates of 48 per cent and 62 per cent respectively. Delay in operative treatment for more than 6 h was associated with increased mortality. However, 5 of 8 patients in whom diagnosis was delayed for more than 48 h recovered. The reason for this is discussed. The indications for conservative treatment are few and well defined; surgery is the treatment of choice. Early diagnosis and treatment are required if the mortality from oesophageal perforation is to be reduced.

Adult↗