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  • Title: [Satisfactory results of conservative treatment in traumatic esophageal perforation].
    Author: Kooper DP, Cuesta MA, van Mourik JC, de Vries N.
    Journal: Ned Tijdschr Geneeskd; 1994 Jan 08; 138(2):82-5. PubMed ID: 8107908.
    Abstract:
    OBJECTIVE: Evaluation of diagnosis and management of 18 patients with iatrogenic or traumatic oesophageal perforation. DESIGN: Descriptive retrospective. SETTING: University hospital Vrije Universiteit Amsterdam. PATIENTS AND METHODS: In the period 1981-1991 18 patients received conservative treatment for iatrogenic/traumatic oesophageal perforation. RESULTS: The perforation was located in the cervical part of the oesophagus in 13 cases and in the thoracic part in 5 cases. Various incidents had led to the perforation. For radiological examination X-rays of the thorax or lateral neck were made or an oesophagogram using iodine as the contrast medium. Treatment consisted of antibiotics, a stomach catheter, intravenous nutrition and if necessary suction drainage. Seventeen patients recovered completely, one patient died. CONCLUSION: Conservative treatment of iatrogenic oesophageal perforation consisting of antibiotics, stomach catheter, enteric or parenteral nutrition and if necessary suction drainage gives good results.
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