PMID: 3753071Sep 1, 1986Paper

Diagnosis and recommended management of esophageal perforation and rupture

The Annals of Thoracic Surgery
M R BladergroenR W Postlethwait

Abstract

Over the past 47 years (1937 to 1984), a total of 127 patients with esophageal perforation or rupture were evaluated at Duke Medical Center or the Durham Veterans Administration Medical Center. In 13 patients, the diagnosis was established at the time of autopsy and in the remaining 114, the diagnosis was established clinically. The etiology, radiological findings, underlying esophageal disease, time interval between onset of symptoms and therapy, and eventual outcome were evaluated. Patients with anastomotic leaks and those in whom carcinoma resulted in perforation or fistula were excluded. Iatrogenic causes were responsible for 55% of perforations, followed by spontaneous rupture in 15%, foreign body perforation in 14%, and traumatic perforation in 10%. Of the 127 patients, 114 underwent treatment involving primary closure (43%), drainage alone (28%), resection (9%), or nonoperative therapy (20%). The overall mortality among these 114 patients was 21%. Fourteen patients sustained a major complication requiring additional operative intervention. The overall mortality among patients requiring reoperation was 57%. Survival was significantly influenced by a delay in treatment of greater than 24 hours. With the exception of nonope...Continue Reading

References

Apr 1, 1978·The Annals of Thoracic Surgery·W S LyonsJ W Peabody
Mar 1, 1975·The Annals of Thoracic Surgery·J L SawyersR A Daniel
Oct 11, 1975·The Annals of Thoracic Surgery·H C Grillo, E W Wilkins
Jan 1, 1985·American Journal of Surgery·J D RichardsonH C Polk
May 1, 1972·Thorax·M R KeighleyM I Ionescu
Dec 1, 1968·Annals of Surgery·W H Hendren, B M Henderson
Apr 1, 1984·Gut·I C WesdorpG N Tytgat
Feb 1, 1982·The Annals of Thoracic Surgery·L MichelR A Malt
Jul 1, 1981·Annals of Surgery·L MichelR A Malt
Jun 1, 1980·American Journal of Surgery·D B SkinnerT R DeMeester
Aug 9, 1965·JAMA : the Journal of the American Medical Association·H C SHIRKEY

❮ Previous
Next ❯

Citations

Jan 1, 1993·Abdominal Imaging·L M KlygisA D Vanagunas
Aug 1, 1993·Digestive Diseases and Sciences·H M SchwartzM Traube
Dec 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D N Fisman, M E Ward
Jan 1, 2005·European Radiology·D N ExarhosC Roussos
Apr 30, 2010·Surgical Endoscopy·Sven Christian SchmidtGuido Schumacher
Aug 18, 2009·Journal of Anesthesia·Jason E YorkEric L Bloomfield
Mar 21, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thorsten TjardesBertil Bouillon
Aug 13, 2008·General Thoracic and Cardiovascular Surgery·Hideyuki KunishigeJunichi Oka
Jul 1, 1992·Seminars in Roentgenology·S E Mirvis, P Templeton
Mar 24, 2004·Injury·Romaldas Rubikas
Apr 30, 2003·Journal of Pediatric Surgery·L MartinezJ A Tovar
Jun 1, 1995·American Journal of Surgery·L B ReederM K Ferguson
Dec 1, 1996·The Annals of Thoracic Surgery·S M WeberJ R Pellett
Oct 9, 2004·Gastrointestinal Endoscopy·Yuichi ShimizuMasahiro Asaka
Jan 27, 2005·Gastrointestinal Endoscopy·Lawrence C HookeyJacques Deviére
May 30, 2001·International Journal of Pediatric Otorhinolaryngology·J E KerschnerD Lee
Nov 5, 1997·The Journal of Emergency Medicine·J S GorbachM H Mendelson
May 4, 2007·Journal of the Chinese Medical Association : JCMA·Wen-Jue Soong
May 1, 1989·The Journal of Laryngology and Otology·D Beggs, W E Morgan
Apr 9, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jung Sun AnKyoung Oh Kim
Apr 1, 1997·Annals of Surgery·A AltorjayA Bohák
Aug 13, 2003·Southern Medical Journal·Manny C KatsetosRobert S Rosson
Mar 13, 2003·Southern Medical Journal·Paul D KiernanPaula Graling
Nov 13, 2007·The Journal of Trauma·James T WuMatthew J Wall
Jan 1, 2009·BMJ Case Reports·Alessandro W MarianiMaurício Daniel Gattaz
Apr 26, 2003·The British Journal of Ophthalmology·S Nabili, J R Murdoch
May 1, 1997·Postgraduate Medical Journal·K J Janjua
Dec 1, 1993·Thorax·P A O'Keefe, P Goldstraw
Oct 12, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ana GiménezPilar Estrada
Sep 22, 2007·Radiology·Rakesh Sinha
Jan 1, 2008·Case Reports in Gastroenterology·Toshihiro NakabayashiHiroyuki Kuwano
Mar 22, 2007·World Journal of Emergency Surgery : WJES·Dirk C StraussRobert C Mason
Dec 15, 2011·Polski przeglad chirurgiczny·Jacek Szeliga, Marek Jackowski
Dec 21, 2013·World Journal of Surgery·Yidan LinJunjie Yang
Oct 18, 2007·Langenbeck's Archives of Surgery·Vittorio BresadolaDino De Anna
Jul 20, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Venkata S KatabathinaRoy F Riascos
Oct 17, 2012·Emergency Radiology·R Steven DelappeSushilkumar K Sonavane
Aug 30, 2007·World Journal of Surgery·Abdullah ErdoganAbid Demircan
Mar 8, 2016·Case Reports in Emergency Medicine·Zeenia AgaJo Jo Leung
Feb 2, 2016·Seminars in Ultrasound, CT, and MR·Carlo LiguoriLuigia Romano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Annals of Thoracic Surgery
S AttarJ S McLaughlin
The Annals of Thoracic Surgery
W G Jones, R J Ginsberg
The Annals of Thoracic Surgery
M B Orringer, M C Stirling
© 2021 Meta ULC. All rights reserved