2012
DOI: 10.1590/s1679-45082012000400019
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Abstract: Non-iatrogenic traumatic cervical esophageal perforations are usually hard to manage in the clinical setting, and often require a careful and individualized approach. The low incidence of this particular problem leads to a restricted clinical experience among most centers and justify the lack of a standardized surgical approach. Conservative treatment of esophageal perforation remains a controversial topic, although early and sporadic reports have registered the efficacy of non-operative care, especially follo… Show more

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Cited by 3 publications
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“…In the early phase, it is hard to predict if the perforation effects are limited, or will progress to mediastinitis, pleural empyema or sepsis. 7 …”
Section: Discussionmentioning
confidence: 99%
“…In the early phase, it is hard to predict if the perforation effects are limited, or will progress to mediastinitis, pleural empyema or sepsis. 7 …”
Section: Discussionmentioning
confidence: 99%
“…6,7 On the other hand, a wait-and-see strategy including adequate systemic antibiotic therapy and parenteral feeding may be effective in the case of small perforations with a well-contained leak and in stable patients without septicemia. 8…”
mentioning
confidence: 99%