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Ann Thorac Surg 1991;52:151-153
© 1991 The Society of Thoracic Surgeons

Articles

New method for dealing with late-presenting spontaneous esophageal ruptures

C.J. McNamee, MD, B. Meyns, MD, K.M. Pagliero, MD*

Department of Thoracic Surgery, Royal Devon and Exeter Hospital, Exeter, England

Accepted for publication December 14, 1990.

* Address reprint requests to Mr Pagliero, Department of Thoracic Surgery, Culm Ward, Royal Devon and Exeter Hospital, Wonford, Exeter, England EX2 5DJ.

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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