Vogel S, Volk H W, Wasmer H P, Buchwald J
Chirurgische Universitätsklinik, Würzburg.
Zentralbl Chir. 1991;116(12):751-6.
Between the years 1985 and 1989 11 patients with iatrogenic esophageal perforation were treated at the Department of Surgery at the University of Würzburg. 5 perforations were diagnosed within 24 hours, the others after 1 to 5 days. All patients received a non resective surgical treatment, consisting of excision of the perforated area, primary closure in single suture technique strictly extramucosal and drainage. In addition fibrin glue and a pleural wrap protected the suture. In 55% the postoperative course was completely inconspicuous. Only one patient with a recidive of a gastric cancer with lung and liver metastases, died 11 days after operation of a cervical perforation.
