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[Satisfactory results of conservative treatment in traumatic esophageal perforation]
D P Kooper1, M A Cuesta, J C van Mourik
1Afd. Keel-, Neus- en Oorheelkunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Objective:
Evaluation of diagnosis and management of 18 patients with iatrogenic or traumatic oesophageal perforation.
Design:
Descriptive retrospective.
Setting:
University hospital Vrije Universiteit Amsterdam.
Patients And Methods:
In the period 1981-1991 18 patients received conservative treatment for iatrogenic/traumatic oesophageal perforation.
Results:
The perforation was located in the cervical part of the oesophagus in 13 cases and in the thoracic part in 5 cases. Various incidents had led to the perforation. For radiological examination X-rays of the thorax or lateral neck were made or an oesophagogram using iodine as the contrast medium. Treatment consisted of antibiotics, a stomach catheter, intravenous nutrition and if necessary suction drainage. Seventeen patients recovered completely, one patient died.
Conclusion:
Conservative treatment of iatrogenic oesophageal perforation consisting of antibiotics, stomach catheter, enteric or parenteral nutrition and if necessary suction drainage gives good results.