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The Annals of Thoracic Surgery, Vol 19, 233-238, Copyright © 1975 by The Society of Thoracic Surgeons
JL Sawyers, CE Lane, JH Foster and RA Daniel
Esophageal perforation continues to be a challenge. The overall incidence
is rising even though iatrogenic perforations are decreasing. With early
diagnosis followed by prompt surgical treatment, most patients can be
expected to survive. Roentgenographic contrast studies demonstrated a
perforation in all but 1 of our patients who had this examination and
should be used early in patients suspected of having an esophageal
perforation. The mortality rate is directly related to the interval between
perforation and initiation of treatment. Nonoperative treatment, even for
cervical esophageal perforations, is not advocated. An aggressive approach,
consisting of closure of the perforation and adequate drainage, is
indicated for both diagnosis and surgical treatment.
ARTICLES
Esophageal perforation: an increasing challenge
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