New method for dealing with late-presenting spontaneous esophageal ruptures.
A new technique is described for dealing with late-presenting spontaneous esophageal ruptures. This method requires only a short period of general anesthesia to drain the periesophageal abscess by a drainage tube inserted into the abscess cavity from the esophagus with the aid of a gastroscope and fluoroscopy. Gastric fluids are diverted from the esophageal rupture with a gastrostomy, and a jejunostomy is used for enteral feeding. The esophagus is retained, and closure of the fistula with resumption of normal swallowing is documented with serial sinograms.
McNamee
C J
CJ
Department of Thoracic Surgery, Royal Devon and Exeter Hospital, England.
Meyns
B
B
Pagliero
K M
KM
D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods; D004935:Esophageal Diseases / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D005773:Gastroscopy; D005774:Gastrostomy; D006801:Humans; D007582:Jejunostomy; D008297:Male; D012422:Rupture, Spontaneous