| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1979;27:404-408
© 1979 The Society of Thoracic Surgeons
Departments of Surgery and Medicine, The Johns Hopkins Medical Institutions, Baltimore, MD
* Address reprint requests to Dr. Cameron, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD 21205
Eight patients with intrathoracic esophageal disruptions were managed nonoperatively and without pleural drainage. Criteria for nonoperative treatment included the following: disruption contained in the mediastinum or between the mediastinum and visceral lung pleura; drainage of the cavity back into the esophagus; minimal symptoms; and minimal signs of clinical sepsis. Cause of the esophageal perforation was pneumostatic dilatation (1 patient), vomiting (2), and a leak following esophageal operation (5). Antibiotics were administered intravenously to all patients; hyperalimentation was accomplished intravenously in 5, and nasogastric suction was used in only 1. The cavities contracted and the esophageal leaks sealed in all instances. Time before oral intake was resumed ranged from 7 to 38 days (average, 18 days). Days until discharge ranged from 15 to 52 days (average, 28 days).
This article has been cited by other articles:
|
|
 |
|
  M. Tettey, F. Edwin, E. Aniteye, L. Sereboe, M. Tamatey, K. Entsua-Mensah, D. Kotei, and K. Frimpong-Boateng Management of intrathoracic oesophageal perforation: analysis of 16 cases Trop Doct, October 1, 2011; 41(4): 201 - 203. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Minnich, P. Yu, A. S. Bryant, D. Jarrar, and R. J. Cerfolio Management of thoracic esophageal perforations Eur J Cardiothorac Surg, October 1, 2011; 40(4): 931 - 938. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
X. B. D'Journo Editorial comment: Management of esophageal perforations: is there a place for a standardized approach? Eur J Cardiothorac Surg, October 1, 2011; 40(4): 937 - 938. [Full Text] [PDF]
|
|
|
|
 |
|
 R. K. Freeman, J. M. Van Woerkom, and A. J. Ascioti Esophageal Stent Placement for the Treatment of Iatrogenic Intrathoracic Esophageal Perforation Ann. Thorac. Surg., June 1, 2007; 83(6): 2003 - 2008. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Answer Gut, August 1, 2006; 55(8): 1164 - 1164. [Full Text] [PDF]
|
|
|
|
|
|
A. Fischer, O. Thomusch, S. Benz, E. von Dobschuetz, P. Baier, and U. T. Hopt Nonoperative Treatment of 15 Benign Esophageal Perforations With Self-Expandable Covered Metal Stents Ann. Thorac. Surg., February 1, 2006; 81(2): 467 - 472. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D Smith and S Woolley Hypopharyngeal perforation following minor trauma: a case report and literature review Emerg. Med. J., January 1, 2006; 23(1): e07 - e07. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Crestanello, C. Deschamps, S. D. Cassivi, F. C. Nichols III, M. S. Allen, C. Schleck, and P. C. Pairolero Selective management of intrathoracic anastomotic leak after esophagectomy J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 254 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. J. Brinster, S. Singhal, L. Lee, M. B. Marshall, L. R. Kaiser, and J. C. Kucharczuk Evolving options in the management of esophageal perforation Ann. Thorac. Surg., April 1, 2004; 77(4): 1475 - 1483. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. C. Urschel Jr. History of general thoracic surgery and the Southern Thoracic Surgical Association: the first 25 years Ann. Thorac. Surg., November 1, 2003; 76(90050): S11 - 13. [Full Text] [PDF]
|
|
|
|
|
|
H. Mumtaz, G. W. Barone, B. L. Ketel, and A. Ozdemir Successful management of a nonmalignant esophageal perforation with a coated stent Ann. Thorac. Surg., October 1, 2002; 74(4): 1233 - 1235. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. B. Zwischenberger, C. Savage, and A. Bidani Surgical Aspects of Esophageal Disease . Perforation and Caustic Injury Am. J. Respir. Crit. Care Med., April 15, 2002; 165(8): 1037 - 1040. [Full Text] [PDF]
|
|
|
|
|
|
J. Jougon, O. Cantini, F. Delcambre, A. Minniti, and J. F. Velly Esophageal perforation: life threatening complication of endotracheal intubation Eur J Cardiothorac Surg, July 1, 2001; 20(1): 7 - 11. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. H. Roy-Choudhury, A. A. Nicholson, K. R. Wedgwood, R. A. J. Mannion, P. C. Sedman, C. M. S. Royston, and D. J. Breen Symptomatic Malignant Gastroesophageal Anastomotic Leak: Management with Covered Metallic Esophageal Stents Am. J. Roentgenol., January 1, 2001; 176(1): 161 - 165. [Abstract] [Full Text]
|
|
|
|
|
|
P. G. Guillem, H. L. Porte, A. Saudemont, P. A. Quandalle, and A. J. Wurtz Perforation of Barrett's ulcer: a challenge in esophageal surgery Ann. Thorac. Surg., June 1, 2000; 69(6): 1707 - 1710. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Brunelli, A. Sabbatini, G. Catalini, and A. Fianchini Descending Necrotizing Mediastinitis: Surgical Drainage and Tracheostomy Arch Otolaryngol Head Neck Surg, December 1, 1996; 122(12): 1326 - 1329. [Abstract] [PDF]
|
|
|
|
 |
|
 S. A. Engum, J. L. Grosfeld, K. W. West, F. J. Rescorla, L. R. T. Scherer, and W. G. Vaughan Improved Survival in Children With Esophageal Perforation Arch Surg, June 1, 1996; 131(6): 604 - 611. [Abstract] [PDF]
|
|
|
|
|
|
B. L. Bufkin, J. I. Miller Jr, and K. A. Mansour Esophageal Perforation: Emphasis on Management Ann. Thorac. Surg., May 1, 1996; 61(5): 1447 - 1451. [Abstract] [Full Text]
|
|
|
|
|
|
D. S. Weiman, W. A. Walker, K. M. Brosnan, J. W. Pate, and T. C. Fabian Noniatrogenic esophageal trauma Ann. Thorac. Surg., April 1, 1995; 59(4): 845 - 850. [Abstract] [PDF]
|
|
|
|
|
|
R. I. Whyte, M. D. Iannettoni, and M. B. Orringer Intrathoracic esophageal perforation: The merit of primary repair J. Thorac. Cardiovasc. Surg., January 1, 1995; 109(1): 140 - 146. [Abstract] [Full Text]
|
|
|
|
|
|
J. D. Urschel Gastroesophageal leaks after antireflux operations Ann. Thorac. Surg., May 1, 1994; 57(5): 1229 - 1232. [Abstract] [PDF]
|
|
|
|
|
|
J. D. Richardson and G. R. Tobin Closure of Esophageal Defects With Muscle Flaps Arch Surg, May 1, 1994; 129(5): 541 - 548. [Abstract] [PDF]
|
|
|
|
|
|
R. J. Landreneau, J. A. Johnson, R. J. Keenan, W. M. Thompson, S. Megison, and P. F. Ferson "Spontaneous" mediastinal pancreatic pseudocyst fistulization to the esophagus Ann. Thorac. Surg., January 1, 1994; 57(1): 208 - 210. [Abstract] [PDF]
|
|
|
|
|
|
V. E. Pricolo, C. S. Park, and W. R. Thompson Surgical Repair of Esophageal Perforation due to Pneumatic Dilatation for Achalasia: Is Myotomy Really Necessary? Arch Surg, May 1, 1993; 128(5): 540 - 544. [Abstract] [PDF]
|
|
|
|
|
|
S. K. Ohri, T. A. Liakakos, V. Pathi, E. R. Townsend, and S. W. Fountain Primary repair of iatrogenic thoracic esophageal perforation and Boerhaave's syndrome Ann. Thorac. Surg., March 1, 1993; 55(3): 603 - 606. [Abstract] [PDF]
|
|
|
|
 |
|
 V. F. Trastek Esophageal Perforation: A Reassessment of the Criteria for Choosing Medical or Surgical Therapy Arch Intern Med, April 1, 1992; 152(4): 693 - 693. [Abstract] [PDF]
|
|
|
|
|
|
H. A. Shaffer Jr, G. Valenzuela, and R. K. Mittal Esophageal Perforation: A Reassessment of the Criteria for Choosing Medical or Surgical Therapy Arch Intern Med, April 1, 1992; 152(4): 757 - 761. [Abstract] [PDF]
|
|
|
|
|
|
W. G. Jones and R. J. Ginsberg Esophageal perforation: A continuing challenge Ann. Thorac. Surg., March 1, 1992; 53(3): 534 - 543. [Abstract] [PDF]
|
|
|
|
|
|
C. J. McNamee, B. Meyns, and K. M. Pagliero New method for dealing with late-presenting spontaneous esophageal ruptures Ann. Thorac. Surg., July 1, 1991; 52(1): 151 - 153. [Abstract] [PDF]
|
|
|
|
|
|
J. A. Niezgoda, P. McMenamin, and G. M. Graeber Pharyngoesophageal perforation after blunt neck trauma Ann. Thorac. Surg., October 1, 1990; 50(4): 615 - 617. [Abstract] [PDF]
|
|
|
|
|
|
S. Attar, J. R. Hankins, C. M. Suter, T. R. Coughlin, A. Sequeira, and J. S. McLaughlin Esophageal perforation: A therapeutic challenge Ann. Thorac. Surg., July 1, 1990; 50(1): 45 - 49. [Abstract] [PDF]
|
|
|
|
|
|
C. M. Burnett, A. S. Rosemurgy, and E. A. Pfeiffer Life-threatening acute posterior mediastinitis due to esophageal perforation Ann. Thorac. Surg., June 1, 1990; 49(6): 979 - 983. [Abstract] [PDF]
|
|
|
|
|
|
M. J. Wheatley, M. C. Stirling, M. M. Kirsh, O. Gago, and M. B. Orringer Descending necrotizing mediastinitis: Transcervical drainage is not enough Ann. Thorac. Surg., May 1, 1990; 49(5): 780 - 784. [Abstract] [PDF]
|
|
|
|
|
|
D. B. Skinner Technical and scientific advances in general thoracic surgery Ann. Thorac. Surg., January 1, 1990; 49(1): 14 - 25. [PDF]
|
|
|
|
|
|
M. B. Orringer and M. C. Stirling Esophagectomy for esophageal disruption Ann. Thorac. Surg., January 1, 1990; 49(1): 35 - 43. [Abstract] [PDF]
|
|
|
|
|
|
A. E. Flynn, E. D. Verrier, L. W. Way, A. N. Thomas, and C. A. Pellegrini Esophageal Perforation Arch Surg, October 1, 1989; 124(10): 1211 - 1215. [Abstract] [PDF]
|
|
|
|
|
|
H. E. Cohn, A. Hubbard, and G. Patton Management of esophageal injuries Ann. Thorac. Surg., August 1, 1989; 48(2): 309 - 314. [Abstract] [PDF]
|
|
|
|
|
|
J. W. Pate, W. A. Walker, F. H. Cole Jr, E. W. Owen, and W. H. Johnson Spontaneous rupture of the esophagus: A 30-year experience Ann. Thorac. Surg., May 1, 1989; 47(5): 689 - 692. [Abstract] [PDF]
|
|
|
|
|
|
T. R. DeMeester Perforation of the Esophagus Ann. Thorac. Surg., September 1, 1986; 42(3): 231 - 232. [PDF]
|
|
|
|
|
|
L. Michel, H. C. Grillo, and R. A. Malt Esophageal Perforation Ann. Thorac. Surg., February 1, 1982; 33(2): 203 - 210. [Abstract] [PDF]
|
|
|
|
|
|
O. S. Andersen and P. E. Giustra Nonoperative Management of Contained Esophageal Perforation: Two Case Reports Arch Surg, September 1, 1981; 116(9): 1214 - 1217. [Abstract] [PDF]
|
|
|
|
|
|
S. L. Bradley, P. C. Pairolero, W. S. Payne, and D. R. Gracey Spontaneous Rupture of the Esophagus Arch Surg, June 1, 1981; 116(6): 755 - 758. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
