[Treatment of iatrogenic esophageal perforation].
Between the years 1985 and 1989 11 patients with iatrogenic esophageal perforation were treated at the Department of Surgery at the University of Würzburg. 5 perforations were diagnosed within 24 hours, the others after 1 to 5 days. All patients received a non resective surgical treatment, consisting of excision of the perforated area, primary closure in single suture technique strictly extramucosal and drainage. In addition fibrin glue and a pleural wrap protected the suture. In 55% the postoperative course was completely inconspicuous. Only one patient with a recidive of a gastric cancer with lung and liver metastases, died 11 days after operation of a cervical perforation.
Chirurgische Universitätsklinik, Würzburg.
S
S
Vogel
H W
HW
Volk
H P
HP
Wasmer
J
J
Buchwald
D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D020701:Esophagoscopes; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000401:mortality; D011859:Radiography; D013536:Suture Techniques
Behandlung der iatrogenen Osophagusperforation.