PMID: 3322247Oct 1, 1987Paper

Oesophageal perforation--a review of 37 cases

The Australian and New Zealand Journal of Surgery
P H Wilde, C J Mullany

Abstract

We have reviewed 37 cases of ruptured oesophagus treated at St Vincent's Hospital from 1976 to 1986. Their age ranged from 20 to 89 years (mean 64 years) and 59% were female. The causes of rupture were spontaneous (9), foreign body (5), diagnostic oesophagoscopy (8), oesophagoscopy and dilatation (5), balloon dilatation (3), palliative intubation (6) and patient self dilation (1). Eighty-six per cent of perforations occurred in the lower third of the oesophagus. The most common means of diagnosis was a positive contrast swallow (90%) and/or the presence of cervical or mediastinal air (49%). Eighteen patients underwent surgical treatment which consisted of a combination of thoracotomy, drainage and repair, or laparotomy and Celestin tube insertion, with or without chest drainage. Two patients underwent oesophageal diversion. The overall mortality in all patients was 30% (37% non-operative and 22% operative group). We conclude that the management of ruptured oesophagus demands an individual approach depending upon the site and aetiology of perforation and the underlying disease. The condition is a disease of the elderly and continues to have a high morbidity and mortality.

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Citations

Dec 1, 1992·Irish Journal of Medical Science·G G Craven, M G Whittaker
Aug 4, 2009·The Journal of Laryngology and Otology·E HoskisonH Pau
Nov 25, 2003·ANZ Journal of Surgery·Andrew G HillIain G Martin
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Jul 2, 2011·The Annals of Thoracic Surgery·Pankaj BhatiaRichard A Malthaner
May 15, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yung ChenSerena S Hu
May 7, 2005·International Journal of Clinical Practice. Supplement·F O AgadaA R H Grace
Jan 6, 2011·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Eriko ShinozukaEiji Uchida
Mar 1, 1992·The Annals of Otology, Rhinology, and Laryngology·S R DolginA J Maniglia
May 1, 1991·The British Journal of Surgery·H W TilanusH Obertop
Jun 10, 2005·ANZ Journal of Surgery·George Petrou, Robert Wilson
Feb 1, 1991·The Journal of Laryngology and Otology·N S JonesN Y Salama
Aug 14, 2002·Irish Journal of Medical Science·C CollinsG C O'Sullivan
Jan 22, 2019·Journal of Pediatric Gastroenterology and Nutrition·Jenifer R LightdaleUNKNOWN NASPGHAN Endoscopy and Procedures Committee
Oct 1, 1996·The British Journal of Surgery·D J AdamE W Cameron

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