AI Article Synopsis
- Between 1990 and 1996, 22 patients in the department experienced esophagus perforations, predominantly following endoscopic procedures (16 out of 22).
- Treatment methods varied, including oesophageal suture and drainage, subtotal oesophagectomy, and conservative approaches, with some patients requiring multiple surgeries.
- The overall mortality rate for these patients was 18%, with four patients unfortunately passing away due to complications.
Article Abstract
In our Department 22 patients were treated due to esophagus perforations in the years 1990-1996. Most of them (16) occurred after endoscopic examinations: diagnostic-3, after strictures dilatation-10, endoscopic intubation-2, sclerotherapy-1, transesophageal cardioversion-1. There were 5 intraoperative perforations: 3-after cardiomyotomy, 2-after intubation. The following treatment was performed: oesophageal suture and drainage-5 patients, subtotal oesophagectomy with oesophagogastrostomy-3 patients, oesophagectomy with salivary fistula and oesophago-gastro or -colostomy in second operation--9 patients, perforation covered with gastric fundus--3, intubation--1 patient, conservative treatment--1 patient. Four (18%) patient died.
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- The article presents a case of a patient who experienced cardiac tamponade due to this fistula.
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