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Updated: Jan 23, 2026
06:46
Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
3.3K
[Unusually late presentation esophageal perforations and ruptures]
Lajos Kotsis1, Szilárd Kostic1, Zoltán Heller1
1Mellkassebészeti Osztály, Országos Korányi Pulmonológiai Intézet 2660 Balassagyarmat, Szent István u.11.
Magyar Sebeszet
|June 21, 2019
Summary
This study highlights successful surgical treatments for rare, late esophageal perforations and ruptures, emphasizing that repair is always possible. Early diagnosis and intervention are crucial for managing these complex esophageal injuries.
Area of Science:
- Thoracic Surgery
- Gastroenterology
- Medical Diagnostics
Background:
- Unusual late esophageal perforations and ruptures present diagnostic challenges.
- Diagnostic delays stem from misinterpretation of pleural collections, overlooked treatments, and delayed recognition of empyema post-pneumonectomy.
Purpose of the Study:
- To present treatment modalities for unusual late esophageal perforations and ruptures.
- To emphasize the possibility of salvaging a perforated or ruptured esophagus, regardless of delay.
Main Methods:
- Transthoracic reinforced primary repair.
- Temporary exclusion techniques (Urschel-Ergin type, Johnson type).
- Tube thoracostomy, lavage, decortication, fenestration, and bypass procedures (colonic or Roux-en-Y).
Main Results:
- Transthoracic reinforced or temporary excluded primary repair were successful in all cases.
- Specific techniques were applied based on patient age and condition, including exclusion with tube thoracostomy and lavage for infant iatrogenic perforation.
- Second-stage bypass procedures were utilized for complex cases.
Conclusions:
- It is never too late to attempt repair and salvage of a perforated or ruptured healthy esophagus.
- Timely and appropriate surgical intervention is key to successful outcomes in late esophageal injuries.
- Prompt recognition and management are vital to prevent complications like deep sepsis.
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