title: [Esophageal perforations. Diagnosis and treatment].
abstract: Perforation of the esophagus was retrospectively analysed in six patients. The age span was 30 years to 81 years, and the male to female ratio was 2 to 1. Each case was studied with regard to presentation, etiology, treatment and complications. The diagnosis was made at postmortem examination only in 1 patient. The perforation was iatrogenic in 1 of the patients and spontaneous in 5. Management was nonoperative in 3 cases and primary repair with drainage was performed in 2 patients. Overall mortality rate for the series was 33%. This series accumulated from a review of the literature emphasizes the importance of the influence of different methods of treatment and time lapsed between occurrence and therapy.
authors.affiliation: Divisione di Chirurgia Generale, Ospedale di Desio, MI.
authors.forename: L
authors.initials: L
authors.lastname: Giani
authors.forename: P
authors.initials: P
authors.lastname: Nobili
authors.forename: B
authors.initials: B
authors.lastname: Annolfi
authors.forename: B
authors.initials: B
authors.lastname: Rossi
authors.forename: M
authors.initials: M
authors.lastname: Chiarelli
mesh_terms: D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000175:diagnosis; D004939:Esophageal Perforation / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy*; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D013577:Syndrome
vernacular_title: Le perforazioni esofagee. Diagnosi e trattamento.