Abstract AIMS To study the diagnosis and therapy of esophageal perforation in the aged. METHODS 335 elderly patients undergoing endoscopy or therapeutic esophageal dilation in our hospital from July 1988 to August ...Abstract AIMS To study the diagnosis and therapy of esophageal perforation in the aged. METHODS 335 elderly patients undergoing endoscopy or therapeutic esophageal dilation in our hospital from July 1988 to August 1995 were studied retrospectively. Of these patients, 31 had esophageal perforation, 17 of whom were treated nonsurgically (nasogastric drainage, antibiotics, and intravenous alimentation), 8 underwent total esophagectomy, and 6 received surgical drainage.展开更多
OBJECTIVE To determine the ideal method of surgical preoperative treatment for perforation with esophageal carcinoma.METHODS 36 cases of perforation with esophageal carcinoma were treated surgically in this series.Per...OBJECTIVE To determine the ideal method of surgical preoperative treatment for perforation with esophageal carcinoma.METHODS 36 cases of perforation with esophageal carcinoma were treated surgically in this series.Perforations occurred into the right lung in 14 cases.the mediastinum in 17 cases and treachea in 5 cases.Open thoracic surgery was performed in 34 cases.in which the right thoracic approach using a 3-incision method was applied in 16 cases,and operation by stages in 15 cases.Of the 34 cases.retrosternal substitution of the esophagus with stomach or colon was performed in 26 cases.RESULTS Surgery was successful in 31 cases and operative death occurred in 3 cases.The postoperative follow up study was from 3-72 months.Of these cases 15 were alive 15 7-12 months,2 at 24 months.and 1 at 72 months.The results can be considered satisfactory.CONCLUSION The therapeutic results of surgical treatment of perforation with esophageeal carcinoma were markedly superior to that of conventional conservative treatment.The authors suggest that surgical interventionwithout delay should be undertaken for patients having a perforation with carcinoma of the esophagus.A right thoracic approach with a 3-incision method（retrosternal replacement of esophagus with stomach or colon0or operation by stages is preferable.展开更多
文摘Abstract AIMS To study the diagnosis and therapy of esophageal perforation in the aged. METHODS 335 elderly patients undergoing endoscopy or therapeutic esophageal dilation in our hospital from July 1988 to August 1995 were studied retrospectively. Of these patients, 31 had esophageal perforation, 17 of whom were treated nonsurgically (nasogastric drainage, antibiotics, and intravenous alimentation), 8 underwent total esophagectomy, and 6 received surgical drainage.
文摘OBJECTIVE To determine the ideal method of surgical preoperative treatment for perforation with esophageal carcinoma.METHODS 36 cases of perforation with esophageal carcinoma were treated surgically in this series.Perforations occurred into the right lung in 14 cases.the mediastinum in 17 cases and treachea in 5 cases.Open thoracic surgery was performed in 34 cases.in which the right thoracic approach using a 3-incision method was applied in 16 cases,and operation by stages in 15 cases.Of the 34 cases.retrosternal substitution of the esophagus with stomach or colon was performed in 26 cases.RESULTS Surgery was successful in 31 cases and operative death occurred in 3 cases.The postoperative follow up study was from 3-72 months.Of these cases 15 were alive 15 7-12 months,2 at 24 months.and 1 at 72 months.The results can be considered satisfactory.CONCLUSION The therapeutic results of surgical treatment of perforation with esophageeal carcinoma were markedly superior to that of conventional conservative treatment.The authors suggest that surgical interventionwithout delay should be undertaken for patients having a perforation with carcinoma of the esophagus.A right thoracic approach with a 3-incision method（retrosternal replacement of esophagus with stomach or colon0or operation by stages is preferable.
