Late Esophageal Perforations

Tuttle, William M.; Barrett, Raymond J.

doi:10.1001/archsurg.1963.01310110005002

Cited by 23 publications

(4 citation statements)

References 6 publications

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“…Tuttle and Barrett (1963) have reported similar findings. It is well established that damage occurs to the mediastinum and perioesophageal tissues following spontaneous perforation, probably as a result of autolysis from gastric contents entering the mediastinum under high pressure.…”

Section: Discussionsupporting

confidence: 64%

“…Despite well documented accounts of both the clinical features and radiological diagnosis of oesophageal perforation (Mathewson, Dozier, Hamill, and Smith, 1962;Hardin, Hardy, and Conn, 1967;Abbott et al, 1970), the morbidity and mortality, particularly after spontaneous rupture, remain alarmingly high (Tuttle and Barrett, 1963;Foster, Jolly, Sawyers, and Daniel, 1965). The importance of early diagnosis in avoiding complications (Nealon et al, 1961) and the value of contrast radiology have been stressed (Christoforidis and Nelson, 1957;Kerr, 1962).…”

mentioning

confidence: 99%

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Morbidity and mortality of oesophageal perforation

Keighley

Girdwood

Wooler

et al. 1972

Thorax

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Section: Discussionsupporting

confidence: 64%

mentioning

confidence: 99%

Morbidity and mortality of oesophageal perforation

Keighley

Girdwood

Wooler

et al. 1972

Thorax

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“…The acute obstruction at the cardio-oesophageal junction caused by herniation of the stomach into the chest can be expected to produce increased pressure in the oesophageal lumen and consequent rupture of the unsupported mucosa at the site of the oesophagomyotomy. The resulting acute mediastinitis is associated with a high mortality unless diagnosed and treated promptly (Tuttle and Barrett, 1963;Rosoff and White, 1974).…”

Section: Discussionmentioning

confidence: 99%

Acute hiatal hernia with oesophageal perforation following Heller's operation

Fletcher

1978

Journal of British Surgery

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The unusual complication of acute hiatal hernia with oesophageal rupture following transthoracic oesophagomyotomy is described in 2 cases. Inadvertent disruption and widening of the oesophageal hiatus at the time of surgery coupled with increased intragastric and intra-abdominal pressure were the probable causes. The hiatus should be carefully inspected on completion of the myotomy and anatomical restoration performed if necessary in order to avoid this complication. Urgent surgical intervention, gastric fundal serosal patch repair and intravenous alimentation proved successful in the management of these patients.

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“…3 9,12 Others have recommended direct suture-closure of perforatons together with tube drainage." 2,4,7,11,15,16 Recently there have been a few reports describing immediate resection in certain cases of instrumental perforation of the esophagus.5 6,8,10,13 In a group of 11 thoracic instrumental perforations Nealon 13 resected the site of perforation in two. In a report of 35 thoracic perforations Foster performed primary resection of one esophageal stricture with perforation.13 Groves reported 17 cases in 8 of which there were pathologic lesions at the site of perforation; in two of these carcinomas of the esophagus were treated by immediate resection.…”

mentioning

confidence: 99%