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. 1972 May;27(3):353–358. doi: 10.1136/thx.27.3.353

Morbidity and mortality of oesophageal perforation

M R B Keighley 1, R W Girdwood 1, G H Wooler 1, M I Ionescu 1
PMCID: PMC472594  PMID: 5039450

Abstract

Thirty-three patients with oesophageal perforation seen within a 20-year period are reviewed. Endoscopic perforation in patients with neoplastic disease of the oesophagus carried a 100% mortality despite early diagnosis and immediate resection of the growth. Only two deaths occurred after instrumental perforation of the thoracic oesophagus for benign pathology in patients who were in the extremes of life.

Twelve cases with spontaneous perforation were seen. Although the mortality figure of only 8% was encouraging, the morbidity in terms of postoperative complications was considerable, occurring in all but one of the survivors.

The importance of early diagnosis and adequate treatment in relation to postoperative morbidity and mortality is discussed.

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Selected References

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  1. Abbott O. A., Mansour K. A., Logan W. D., Jr, Hatcher C. R., Jr, Symbas P. N. Atraumatic so-called "spontaneous" rupture of the esophagus. A review of 47 personal cases with comments on a new method of surgical therapy. J Thorac Cardiovasc Surg. 1970 Jan;59(1):67–83. [PubMed] [Google Scholar]
  2. CHRISTOFORIDIS A., NELSON S. W. Spontaneous rupture of esophagus with emphasis on the roentgenologic diagnosis. Am J Roentgenol Radium Ther Nucl Med. 1957 Oct;78(4):574–580. [PubMed] [Google Scholar]
  3. FOSTER J. H., JOLLY P. C., SAWYERS J. L., DANIEL R. A. ESOPHAGEAL PERFORATION: DIAGNOSIS AND TREATMENT. Ann Surg. 1965 May;161:701–709. doi: 10.1097/00000658-196505000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Groves L. K. Instrumental perforation of the esophagus. What is conservative management? J Thorac Cardiovasc Surg. 1966 Jul;52(1):1–10. [PubMed] [Google Scholar]
  5. Hardin W. J., Hardy J. D., Conn J. H. Esophageal perforations. Surg Gynecol Obstet. 1967 Feb;124(2):325–331. [PubMed] [Google Scholar]
  6. KERR I. H. A method of demonstrating the site of a perforation of the oesophagus. Br J Radiol. 1962 Apr;35:255–260. doi: 10.1259/0007-1285-35-412-255. [DOI] [PubMed] [Google Scholar]
  7. KORKIS F. B. Mediastinitis following foreign-body perforation of the cervical oesophagus. Lancet. 1952 Jan 5;1(6697):4–8. doi: 10.1016/s0140-6736(52)90986-0. [DOI] [PubMed] [Google Scholar]
  8. MATHEWSON C., Jr, DOZIER W. E., HAMILL J. P., SMITH M. Clinical experiences with perforation of the esophagus. Am J Surg. 1962 Aug;104:257–266. doi: 10.1016/0002-9610(62)90326-4. [DOI] [PubMed] [Google Scholar]
  9. NEALON T. F., Jr, TEMPLETON J. Y., 3rd, CUDDY V. D., GIBBON J. H., Jr Instrumental perforation of the esophagus. J Thorac Cardiovasc Surg. 1961 Jan;41:75–104. [PubMed] [Google Scholar]
  10. OVERSTREET J. W., OCHSNER A. Traumatic rupture of the esophagus; with a report of 13 cases. J Thorac Surg. 1955 Aug;30(2):164–180. [PubMed] [Google Scholar]
  11. RIETZ K. A., WERNER B. Traumatic perforation of the esophagus. Acta Chir Scand. 1959 May 15;116(5-6):401–410. [PubMed] [Google Scholar]
  12. SEALY W. C. Rupture of the esophagus. Am J Surg. 1963 Apr;105:505–510. doi: 10.1016/0002-9610(63)90322-2. [DOI] [PubMed] [Google Scholar]
  13. THAL A. P., HATAFUKU T. IMPROVED OPERATION FOR ESOPHAGEAL RUPTURE. JAMA. 1964 Jun 1;188:826–828. doi: 10.1001/jama.1964.03060350052018. [DOI] [PubMed] [Google Scholar]
  14. TUTTLE W. M., BARRETT R. J. Late esophageal perforations. Arch Surg. 1963 May;86:695–700. doi: 10.1001/archsurg.1963.01310110005002. [DOI] [PubMed] [Google Scholar]

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