Table 4.
Treatment strategies in esophageal perforations
| Number in figure 2 | 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|---|
| Thoracotomiced patients | All | + Pharyngostoma+simple suture | + Pharyngostoma | + Simple suture | Only Drainage (+/- stent) | Esophageal resection or exclusion |
| n (%) | 99 (79) | 13 (10) | 20 (16) | 34 (27) | 24 (24) | 8 (8) |
| Pre-operative ASA score | ||||||
| mean | 2,8 | 3,0 | 2,8 | 2,7 | 2,7 | 2,4 |
| Post-operative complications | 47 (47) | 10 (77) | 9 (45) | 16 (47) | 9 (38) | 4 (50) |
| Re-operations | 12 (12) | 2 (15) | 3(15) | 3 (9) | 3 (12) | 1 (12) |
| Days in hospital | ||||||
| median (min-max) | 25 (3-132) | 45 (16-67) | 36 (5-132) | 21 (5-70) | 21 (3-102) | 22 (4-87) |
| Hospital mortality | 20 (20) | 2 (15) | 4 (20) | 7 (21) | 3 (12) | 4 (50) |
| Mortality < 90 days post op | 19 (19) | 2 (15) | 3 (15) | 7 (21) | 3 (12) | 4 (50) |
There were 3 patients in the group "only drainage" who received a covered stent. Among these patients there was one re-operation but no mortality.
ASA score ranges from 1 (healthy) to 5 (moribund)