DIAGNOSI E TRATTAMENTO DELLE PERFORAZIONI E DELLE ROTTURE ESOFAGEE

Translated title of the contribution: Diagnosis and treatment of esophageal perforations and lesions

L. Cattelani, M. Rusca, D. Anelli, L. Spaggiari, P. Carbognani, E. Foggi, P. Bobbio

Research output: Contribution to journalArticle

Abstract

In this study the clinical behaviour of 11 patients with esophageal perforation is reported. The lesion was iatrogenic in 7 cases occurring in the course of esophagoscopy, caused by foreign body ingestion in 3 cases and spontaneous in one case (Boerhaave). All patients were symptomatic at the time of diagnosis and pain was the most common disturbance. Serious complications occurred in all (4/11 cases) patients diagnosed after 48 hours, while only in one of the seven diagnosed within 24 hours. The treatment, except for special cases, has to be surgical by suturing directly the lesion. Fundoplication, if the lesion involves the abdominal esophagus, or gastrostomy seem to be useful if associated to the primary suture or to the pleuromediastinic drainage. Esophageal resection should be kept for cases in which either a malignant lesion or a nonmalignant stenosis refractory to endoscopic dilatations is present. The mortality rate in our study was 18% (2/11 patients).

Translated title of the contributionDiagnosis and treatment of esophageal perforations and lesions
Original languageItalian
Pages (from-to)250-253
Number of pages4
JournalChirurgia
Volume6
Issue number5
Publication statusPublished - 1993

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Diagnosis and treatment of esophageal perforations and lesions'. Together they form a unique fingerprint.

  • Cite this

    Cattelani, L., Rusca, M., Anelli, D., Spaggiari, L., Carbognani, P., Foggi, E., & Bobbio, P. (1993). DIAGNOSI E TRATTAMENTO DELLE PERFORAZIONI E DELLE ROTTURE ESOFAGEE. Chirurgia, 6(5), 250-253.