[Surgical treatment of distal esophageal perforation not due to a malignancy: results in 11 patients, University Medical Center Utrecht, 1994-1998].
OBJECTIVE
To describe the surgical treatment of distal oesophageal perforation and its results.


METHODS
Retrospective.


METHODS
From patient records data were collected on 11 patients, 6 men and 5 women (median age: 54 years; range: 21-76) who underwent surgery for distal oesophageal perforation in Utrecht University Medical Centre. There were 7 iatrogenic perforations, 3 after vomiting and 1 perforation was based on an oesophageal stricture. Four patients had a delay < 24 h and 7 > 24 h (range: 6-27 days). Nine presented with sepsis, mediastinitis and empyema. Seven underwent primary repair: 5 in combination with a hemifundoplication, 2 with omentomplasty. In the group of other surgical treatment, 2 had drainage with extension and diversion, 1 had an oesophageal resection and gastric conduit and 1 had only surgical drainage.


RESULTS
Primary repair resulted in 7/7 survival. The median period of hospital stay was 24 days (range: 10-62), and the median stay on the ICU was 14 days (range: 0-21). Four patients underwent reoperation. Four patients with primary repair presented no functional complaints, 1 had reflux complaints and 2 dysphagia. Two out of four within other surgery survived the perforation.
Hueting
W E
WE
Afd. Heelkunde, Universitair Medisch Centrum Utrecht.
van Laarhoven
C J
CJ
Gooszen
H G
HG
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods; D004939:Esophageal Perforation / Q000401:mortality / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000293:injuries / Q000601:surgery*; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D012189:Retrospective Studies; D012421:Rupture; D016019:Survival Analysis; D016896:Treatment Outcome