Nederlands tijdschrift voor geneeskunde · 1994
[Satisfactory results of conservative treatment in traumatic esophageal perforation].
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Kooper D P, Cuesta M A, van Mourik J C, de Vries N
Аннотация
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.
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.