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The Annals of Thoracic Surgery, Vol 52, 151-153, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

New method for dealing with late-presenting spontaneous esophageal ruptures

CJ McNamee, B Meyns and KM Pagliero
Department of Thoracic Surgery, Royal Devon and Exeter Hospital, England.

A new technique is described for dealing with late-presenting spontaneous esophageal ruptures. This method requires only a short period of general anesthesia to drain the periesophageal abscess by a drainage tube inserted into the abscess cavity from the esophagus with the aid of a gastroscope and fluoroscopy. Gastric fluids are diverted from the esophageal rupture with a gastrostomy, and a jejunostomy is used for enteral feeding. The esophagus is retained, and closure of the fistula with resumption of normal swallowing is documented with serial sinograms.




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Copyright © 1991 by The Society of Thoracic Surgeons.