[The treatment of iatrogenic esophageal trauma]

An experience with treatment of 35 patients with iatrogenic trauma of the esophagus is presented. Perforation of the cervical part took place in 14 patients and 21 patients had perforation of the thoracic part. The method of choice for operation of the injured thoracic part of the esophagus must be primary suture, at later stages it must be the drainage of the upper mediastinum. The main type of intervention for perforation of the cicatrized thoracic part of the esophagus is thought to be operation of Torek-Dobromyslov. Three patients died. One patient died from esophageal veins hemorrhage and hepatic insufficiency and two from progressing purulent complications.