[Satisfactory results of conservative treatment in traumatic esophageal perforation].
OBJECTIVE
Evaluation of diagnosis and management of 18 patients with iatrogenic or traumatic oesophageal perforation.


METHODS
Descriptive retrospective.


METHODS
University hospital Vrije Universiteit Amsterdam.


METHODS
In the period 1981-1991 18 patients received conservative treatment for iatrogenic/traumatic oesophageal perforation.


RESULTS
The perforation was located in the cervical part of the oesophagus in 13 cases and in the thoracic part in 5 cases. Various incidents had led to the perforation. For radiological examination X-rays of the thorax or lateral neck were made or an oesophagogram using iodine as the contrast medium. Treatment consisted of antibiotics, a stomach catheter, intravenous nutrition and if necessary suction drainage. Seventeen patients recovered completely, one patient died.


CONCLUSIONS
Conservative treatment of iatrogenic oesophageal perforation consisting of antibiotics, stomach catheter, enteric or parenteral nutrition and if necessary suction drainage gives good results.
Kooper
D P
DP
Afd. Keel-, Neus- en Oorheelkunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Cuesta
M A
MA
van Mourik
J C
JC
de Vries
N
N
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004106:Dilatation / Q000009:adverse effects; D004322:Drainage; D004939:Esophageal Perforation / Q000209:etiology / Q000628:therapy*; D004945:Esophagoscopy / Q000009:adverse effects; D004947:Esophagus / Q000293:injuries*; D005260:Female; D005547:Foreign Bodies / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents
Goede resultaten van conservatieve behandeling bij traumatische oesofagusperforatie.