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Esophageal perforation

L Michel, H C Grillo, R A Malt

    The Annals of Thoracic Surgery
    |February 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Diagnosing esophageal perforation is challenging. Early diagnosis and conservative treatment for cervical or thoracic perforations may avoid surgery, while tissue flaps can reinforce closures and prevent reoperation.

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    Area of Science:

    • Gastroenterology
    • Surgical Endoscopy
    • Diagnostic Imaging

    Background:

    • Esophageal perforation is a rare but serious condition.
    • Diagnosis can be challenging due to subtle symptoms.
    • Various etiologies include instrumentation, foreign bodies, and spontaneous rupture.

    Purpose of the Study:

    • To review diagnostic modalities for esophageal perforation.
    • To discuss treatment options, including conservative and surgical approaches.
    • To highlight strategies for managing recurrent leakage and reinforcing closures.

    Main Methods:

    • Review of diagnostic imaging techniques, emphasizing swallow studies with Gastrografin and barium.
    • Analysis of treatment outcomes based on perforation site, timing of diagnosis, and presence of sepsis.

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  • Evaluation of surgical techniques, including local tissue flap reinforcement.

    • Main Results:

    • Swallow studies with Gastrografin, followed by barium, are the most effective diagnostic tests.
    • Early diagnosis of cervical or thoracic perforations without sepsis may allow for conservative management.
    • Recurrent leakage post-surgery is common, but tissue flaps can improve closure success and avoid reoperation.

    Conclusions:

    • Prompt and accurate diagnosis of esophageal perforation is crucial.
    • Treatment selection requires careful consideration of clinical factors.
    • Advanced surgical techniques can effectively manage complex cases and prevent complications.