Morbidity and mortality of oesophageal perforation

Laryngotracheobronchitis complicated by spontaneous pneumomediastinum

“…large series [6], may require immediate intervention and should be ruled out radiographically. A history of violent retching or vomiting accompanied by fever and malaise should raise concern for pneumomediastinum secondary to esophageal perforation, which is often a surgical emergency and carries substantial morbidity and mortality [11]. These patients will require a watersoluble contrast esophagogram and, if a perforation is highly suspected, diagnostic endoscopy and possible surgical repair [5].…”

Spontaneous mid-oesophageal rupture

“…The necessity for early diagnosis and surgical intervention in the avoidance of fatality and complications following spontaneous oesophageal rupture has been strongly emphasized (Moynihan, 1954;Keighley et al, 1972). Only 11 % of untreated patients can be expected to be alive at 48 hr after the event and all will die within 1 week (Flavell, 1963).…”

“…Following the first successful operative repair in 1946 (Barrett, 1947), it became clear that surgery offered the only secure hope of recovery, although a small number of patients will survive with conservative treatment (Hamilton, 1967). Derbes and Mitchell (1956) reported a 36% mortality rate in surgically treated patients and although Keighley et al (1972) reported mortality at 8%, postoperative complications occurred in 84% of patients. Three out of nine reported cases of mid oesophageal rupture have survived.…”

Der ?Verschlu\? instrumenteller Perforationen des stenosierten Oesophagus durch Endoprothese

“…Am thorakalen Oesophagus sind Perforationen fast ausschlieBlich durch ~irztliches Handeln verursacht [2,4,5,[7][8][9]12,13,[15][16][17] und betreffen zumeist vorerkrankte und betagte Patienten. Am thorakalen Oesophagus sind Perforationen fast ausschlieBlich durch ~irztliches Handeln verursacht [2,4,5,[7][8][9]12,13,[15][16][17] und betreffen zumeist vorerkrankte und betagte Patienten.…”

“…konfrontiert. In aUgemein-medizinisch giJnstig gelagerten F~illen von Organperforationen bei vorliegender Segmentstenose kann und soil das Nahtversorgungs-[2,4,7,8,12,13,16,17] oder einzeitige Resektionsprinzip [16], ebenso wie in allen anderen Regionen des Verdauungstraktes, durchaus in Erw~igung gezogen werden. Alle Patienten wiesen erhebliche Risikofaktoren auf (Tabelle 2).…”