PMID: 9436543Jan 22, 1998Paper

Functional outcome after surgical treatment of esophageal perforation

The Annals of Thoracic Surgery
M D IannettoniM B Orringer

Abstract

The functional results after treatment of intrathoracic esophageal perforations have been poorly documented. A retrospective review of 42 patients who underwent treatment of intrathoracic esophageal perforation associated with benign esophageal disease was performed. Of 42 patients treated for esophageal perforation, 25 underwent primary repair, 15 underwent esophagectomy and reconstruction, 1 underwent cervical esophagostomy and drainage followed by esophageal resection, and 1 had drainage alone followed by primary repair. Among the patients treated with primary repair, at least one additional operation was required in 13 patients. Of the 15 patients treated with esophagectomy and reconstruction, none required further operative treatment. Follow-up averaged 3.7 years, and of the 36 survivors available for follow-up, 18 (50%) required at least one esophageal dilation postoperatively, and 3 (8.3%) have required regular dilations. Subjectively, 19 of 36 patients (53%) indicate that their swallowing is better than before perforation, it was the same in 12 (33%), and worse in 4 (11%). In conclusion, approximately one third of patients surviving primary repair of esophageal perforations have continued difficulty with swallowing, whi...Continue Reading

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Citations

Dec 1, 2008·The Indian Journal of Surgery·Anbalagan AmudhanRajagopal Surendran
Jun 2, 2005·The Surgical Clinics of North America·Conrad M Vial, Richard I Whyte
Jul 13, 2000·The Annals of Thoracic Surgery·P G GuillemA J Wurtz
Sep 27, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·C J McNameeT Black
Jun 15, 2012·Interactive Cardiovascular and Thoracic Surgery·Kelechi E Okonta, Emeka B Kesieme
Mar 13, 2003·Southern Medical Journal·Paul D KiernanPaula Graling
Apr 17, 2002·American Journal of Respiratory and Critical Care Medicine·Joseph B ZwischenbergerAkhil Bidani
Dec 12, 2012·Journal of Gastroenterology·Masayasu AikawaYoshito Ikada
Feb 22, 2016·The Journal of Thoracic and Cardiovascular Surgery·Michael SchweigertHubert J Stein
Jul 12, 2011·Gastrointestinal Endoscopy·Neil GuptaPrateek Sharma
Oct 2, 2007·Journal of the American College of Surgeons·Steven B LederRonald R Salem
Apr 4, 2007·Seminars in Thoracic and Cardiovascular Surgery·Mark B Orringer
Jul 19, 2005·American Journal of Surgery·J David Richardson
Apr 6, 2004·The Annals of Thoracic Surgery·Clayton J BrinsterJohn C Kucharczuk
Jul 28, 2005·Gastrointestinal Endoscopy·Gottumukkala S RajuJoseph B Zwischenberger
Oct 8, 2003·The Annals of Thoracic Surgery·Christina BarkleyJohn Yee
Dec 21, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·P D KiernanP Graling
Jul 3, 2008·ANZ Journal of Surgery·Kevin K SngKhoon-Hean Tay
Jul 2, 2011·The Annals of Thoracic Surgery·Pankaj BhatiaRichard A Malthaner
Jun 24, 2016·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M ZimmermannE Schloericke
Jul 6, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Philipp HorvathMarty Zdichavsky
Feb 28, 2015·Annals of the Royal College of Surgeons of England·M SchweigertH J Stein
May 4, 2017·Case Reports in Surgery·Thomas FabianJeremiah Martin
Jun 17, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F V DiPierroE H Blackstone
Mar 11, 2009·Gastroenterology·John M InadomiNicholas J Shaheen

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