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Aggressive Surgical Treatment in Late-Diagnosed Esophageal Perforation : A Report of 11 Cases
Joint Authors
Mahmodlou, Rahim
Ghasemi-Rad, Mohammad
Abdirad, Isa
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Esophageal perforation is a relatively uncommon and lethal disease usually resulting from endoscopic procedures.
Delay in the diagnosis and treatment occurs in more than 50% of cases, leading to a mortality rate of 40% to 60%, but this rate decreases is 10%–25% if treatment is carried out within 24 hours of perforation.
Case Presentation.
To analyze the characteristics, etiology, site of perforation, presentation, time interval till diagnosis, treatment and outcome of patients with esophageal perforation.
Over a five-year period, from October 2004 through March 2009, 11 patients with esophageal perforation were referred to the division of thoracic surgery of a tertiary referral hospital.
In eight patients, perforations were thoracic with delayed diagnosis for at least 48 hours.
Two patients had cervical esophageal perforation, and one patient had early-diagnosed Boerhaave's syndrome.
Eight patients are alive after followup for a period ranging from eight months to five years.
In the remaining three patients, cancer was the underlying disease and the reason of death.
Conclusion.
No patient with esophageal perforation should be deprived from surgical repair due to delayed diagnosis.
All, except preterminal patients, should undergo exploration after resuscitation, and appropriate treatment should be carried out depending on the findings during operation.
Aggressive treatment is necessary in the case of established mediastinitis.
American Psychological Association (APA)
Mahmodlou, Rahim& Abdirad, Isa& Ghasemi-Rad, Mohammad. 2011. Aggressive Surgical Treatment in Late-Diagnosed Esophageal Perforation : A Report of 11 Cases. ISRN Surgery،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-504751
Modern Language Association (MLA)
Mahmodlou, Rahim…[et al.]. Aggressive Surgical Treatment in Late-Diagnosed Esophageal Perforation : A Report of 11 Cases. ISRN Surgery No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-504751
American Medical Association (AMA)
Mahmodlou, Rahim& Abdirad, Isa& Ghasemi-Rad, Mohammad. Aggressive Surgical Treatment in Late-Diagnosed Esophageal Perforation : A Report of 11 Cases. ISRN Surgery. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-504751
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504751