[Oesophageal perforation: a retrospective analysis of aetiology, diagnosis and therapy].
Oesophageal perforation is commonly a rare diagnosis which is associated with a high mortality rate. Decisive for a good clinical outcome are localisation and depth of the perforation, risk factors, the time until diagnosis and a rapid therapy. The data we collected agree with those in the published papers. In cases of an early diagnosis sometimes an endoscopic therapy is possible. In -cases of surgical therapy the smallest intervention is the most favourable. A resection with the necessity for a later reconstruction is considered as the ultima ratio.
Troja
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Klinik für Allgemein- und Visceralchirurgie, Klinikum Oldenburg gGmbH, Rahel-Strauss-Str.10, 26133 Oldenburg, Deutschland. achimtroja@hotmail.com
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D004945:Esophagoscopy; D004947:Esophagus / Q000293:injuries*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012307:Risk Factors; D012421:Rupture; D013577:Syndrome; D055815:Young Adult