title: [Transmural esophagus perforation. Experiences with conservative treatment].
abstract: We report on four cases of esophageal perforation - self-induced, iatrogenic and spontaneous (Boerhaave's syndrome) - treated successfully by conservative means. Based on our own experience and the data collected from the literature the clinical findings, symptoms and signs, prognosis and therapeutic guidelines are reviewed. As a general rule every esophageal perforation diagnosed within the first 24 hours should be treated surgically. After the 24-hour limit the mortality in both surgically and conservatively treated patients runs parallel. Conservative treatment is based on absolute exclusion of oral ingestion, broad-spectrum antibiotics and adequate drainage of pleural empyema and abscesses.
authors.affiliation: Gastroenterologische Abteilung, Kantonsspital Luzern.
authors.forename: A
authors.initials: A
authors.lastname: Roggo
authors.forename: L
authors.initials: L
authors.lastname: Filippini
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents; D002032:Bulimia / Q000150:complications; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004945:Esophagoscopy / Q000009:adverse effects; D005260:Female; D005774:Gastrostomy; D006801:Humans; D008297:Male; D010288:Parenteral Nutrition; D011859:Radiography; D014839:Vomiting / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Transmurale Osophagusperforation. Erfahrungen mit konservativer Behandlung.