Abstract | BACKGROUND: CLINICAL CASES: CONCLUSIONS: Esophageal resection and immediate reconstruction is controversial. It was decided to resect the esophagus in both cases reported here due to the size of the perforation and esophageal disease in the second case. The primary reason for immediate reconstruction in selected cases is permanent resolution. Primary cervical esophagealgastric anastomosis has a lower risk of contamination and leaks than thoracic anastomosis, resulting in mediastinal drainage and parenteral nutrition. Spontaneous esophageal perforation due to perforated Barrett's ulcer is uncommon. Finally, we must consider the importance of early diagnosis and treatment. It is essential to consider the size of the perforation, location, previous esophageal disease, age and general status of the patient in order to undertake appropriate management. Emergency surgery should be individualized and depends on surgeon's experience.
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Authors | Débora Acín-Gándara, Manuel Limones-Esteban, Beatriz Ramos-Lojo, Miguel Angel Delgado-Millán, Julio López-Herrero |
Journal | Cirugia y cirujanos
(Cir Cir)
2010 Nov-Dec
Vol. 78
Issue 6
Pg. 528-32
ISSN: 2444-054X [Electronic] Mexico |
PMID | 21214990
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Aged
- Esophageal Perforation
(etiology, surgery)
- Esophagectomy
- Female
- Humans
- Male
- Time Factors
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