Management of post dilatation oesophageal perforation: an experience from a tertiary centre
Background Treatment of oesophageal perforation remains controversial. This study shows that native oesophagus should be preserved. Early recognition improves survival. Aim The aim of this study was to evaluate the outcome of management of post dilatation oesophageal perforation in a tertiary centre...
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| Veröffentlicht in: | Indian journal of surgery 2008-12, Vol.70 (6), p.308-312 |
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| creator | Amudhan, Anbalagan Balachandar, Tirupporur Govindaswamy Rajendran, Shanmugasundaram VimalRaj, Vellayudham Rajarathinam, Govindhasamy Ravichandran, Palanisamy Jeswant, Satyanesan Kannan, Devy Gounder Surendran, Rajagopal |
| description | Background
Treatment of oesophageal perforation remains controversial. This study shows that native oesophagus should be preserved. Early recognition improves survival.
Aim
The aim of this study was to evaluate the outcome of management of post dilatation oesophageal perforation in a tertiary centre.
Methods
Between 1999 and 2007, 35 patients with oesophageal perforation following dilatation were treated. Post dilatation corrosive stricture perforations constituted the major aetiology.
Results
Twenty-four (69%) underwent early intervention (< 24 hours) and the remaining 11 (31%) were late (>24 hours). The 30-day mortality was found to be 9%, and mean hospital stay was 14 ± 14.7 days. Comparing outcomes between early and late groups, statistically significant difference was observed, with increased mortality (p=0.001) and hospital stay (p=0.001) following late intervention.
Conclusion
Early intervention decreases mortality and hospital stay in oesophageal perforation and preservation of oesophagus may be attempted, as native oesophagus is the best conduit. |
| doi_str_mv | 10.1007/s12262-008-0088-7 |
| format | Article |
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Treatment of oesophageal perforation remains controversial. This study shows that native oesophagus should be preserved. Early recognition improves survival.
Aim
The aim of this study was to evaluate the outcome of management of post dilatation oesophageal perforation in a tertiary centre.
Methods
Between 1999 and 2007, 35 patients with oesophageal perforation following dilatation were treated. Post dilatation corrosive stricture perforations constituted the major aetiology.
Results
Twenty-four (69%) underwent early intervention (< 24 hours) and the remaining 11 (31%) were late (>24 hours). The 30-day mortality was found to be 9%, and mean hospital stay was 14 ± 14.7 days. Comparing outcomes between early and late groups, statistically significant difference was observed, with increased mortality (p=0.001) and hospital stay (p=0.001) following late intervention.
Conclusion
Early intervention decreases mortality and hospital stay in oesophageal perforation and preservation of oesophagus may be attempted, as native oesophagus is the best conduit.</description><identifier>ISSN: 0972-2068</identifier><identifier>EISSN: 0973-9793</identifier><identifier>DOI: 10.1007/s12262-008-0088-7</identifier><identifier>PMID: 23133089</identifier><language>eng</language><publisher>India: Springer-Verlag</publisher><subject>Cardiac Surgery ; Early intervention ; Medicine ; Medicine & Public Health ; Mortality ; Neurosurgery ; Original ; Original Article ; Pediatric Surgery ; Plastic Surgery ; Surgery ; Thoracic Surgery</subject><ispartof>Indian journal of surgery, 2008-12, Vol.70 (6), p.308-312</ispartof><rights>Association of Surgeons of India 2008</rights><rights>Indian Journal of Surgery is a copyright of Springer, (2008). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c422t-6706c3850c3dd2373a01902b411e27018369d282b37b41ad34d6cd14a0b6890c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3452349/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3452349/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,41486,42555,51317,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23133089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amudhan, Anbalagan</creatorcontrib><creatorcontrib>Balachandar, Tirupporur Govindaswamy</creatorcontrib><creatorcontrib>Rajendran, Shanmugasundaram</creatorcontrib><creatorcontrib>VimalRaj, Vellayudham</creatorcontrib><creatorcontrib>Rajarathinam, Govindhasamy</creatorcontrib><creatorcontrib>Ravichandran, Palanisamy</creatorcontrib><creatorcontrib>Jeswant, Satyanesan</creatorcontrib><creatorcontrib>Kannan, Devy Gounder</creatorcontrib><creatorcontrib>Surendran, Rajagopal</creatorcontrib><title>Management of post dilatation oesophageal perforation: an experience from a tertiary centre</title><title>Indian journal of surgery</title><addtitle>Indian J Surg</addtitle><addtitle>Indian J Surg</addtitle><description>Background
Treatment of oesophageal perforation remains controversial. This study shows that native oesophagus should be preserved. Early recognition improves survival.
Aim
The aim of this study was to evaluate the outcome of management of post dilatation oesophageal perforation in a tertiary centre.
Methods
Between 1999 and 2007, 35 patients with oesophageal perforation following dilatation were treated. Post dilatation corrosive stricture perforations constituted the major aetiology.
Results
Twenty-four (69%) underwent early intervention (< 24 hours) and the remaining 11 (31%) were late (>24 hours). The 30-day mortality was found to be 9%, and mean hospital stay was 14 ± 14.7 days. Comparing outcomes between early and late groups, statistically significant difference was observed, with increased mortality (p=0.001) and hospital stay (p=0.001) following late intervention.
Conclusion
Early intervention decreases mortality and hospital stay in oesophageal perforation and preservation of oesophagus may be attempted, as native oesophagus is the best conduit.</description><subject>Cardiac Surgery</subject><subject>Early intervention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Neurosurgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Plastic Surgery</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><issn>0972-2068</issn><issn>0973-9793</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU1vFDEMhiNERUvhB3BBkbhwGerE2XxwQKoqvqQiLnDiEGVnPNupZpIhmUXw78nultIicbAS2Y9f23oZeybglQAwZ0VIqWUDYHdhG_OAnYAz2Djj8OH-LxsJ2h6zx6VcA0ilER-xY4kCEaw7Yd8-hRg2NFFceOr5nMrCu2EMS1iGFHmikuarCoSRz5T7lPf51zxETj9rZqDYEu9zmnjgC-VlCPkXb6tcpifsqA9joac37yn7-u7tl4sPzeXn9x8vzi-bVkm5NNqAbtGuoMWuk2gwgHAg10oIkgaERe06aeUaTc2FDlWn206oAGttXe06ZW8OuvN2PVG3Hx5GP-dhqsv4FAZ_vxKHK79JPzyqlUTlqsDLG4Gcvm-pLH4aSkvjGCKlbfFCKHTghDIVffEPep22OdbzvMSVdsopoyslDlSbUymZ-ttlBPiddf5gna-27cL6nfLzu1fcdvzxqgLyAJRaihvKf0f_X_U3MfmkSw</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Amudhan, Anbalagan</creator><creator>Balachandar, Tirupporur Govindaswamy</creator><creator>Rajendran, Shanmugasundaram</creator><creator>VimalRaj, Vellayudham</creator><creator>Rajarathinam, Govindhasamy</creator><creator>Ravichandran, Palanisamy</creator><creator>Jeswant, Satyanesan</creator><creator>Kannan, Devy Gounder</creator><creator>Surendran, Rajagopal</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>04Q</scope><scope>04T</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20081201</creationdate><title>Management of post dilatation oesophageal perforation: an experience from a tertiary centre</title><author>Amudhan, Anbalagan ; Balachandar, Tirupporur Govindaswamy ; Rajendran, Shanmugasundaram ; VimalRaj, Vellayudham ; Rajarathinam, Govindhasamy ; Ravichandran, Palanisamy ; Jeswant, Satyanesan ; Kannan, Devy Gounder ; Surendran, Rajagopal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-6706c3850c3dd2373a01902b411e27018369d282b37b41ad34d6cd14a0b6890c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Cardiac Surgery</topic><topic>Early intervention</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Plastic Surgery</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amudhan, Anbalagan</creatorcontrib><creatorcontrib>Balachandar, Tirupporur Govindaswamy</creatorcontrib><creatorcontrib>Rajendran, Shanmugasundaram</creatorcontrib><creatorcontrib>VimalRaj, Vellayudham</creatorcontrib><creatorcontrib>Rajarathinam, Govindhasamy</creatorcontrib><creatorcontrib>Ravichandran, Palanisamy</creatorcontrib><creatorcontrib>Jeswant, Satyanesan</creatorcontrib><creatorcontrib>Kannan, Devy Gounder</creatorcontrib><creatorcontrib>Surendran, Rajagopal</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>India Database</collection><collection>India Database: Health & Medicine</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amudhan, Anbalagan</au><au>Balachandar, Tirupporur Govindaswamy</au><au>Rajendran, Shanmugasundaram</au><au>VimalRaj, Vellayudham</au><au>Rajarathinam, Govindhasamy</au><au>Ravichandran, Palanisamy</au><au>Jeswant, Satyanesan</au><au>Kannan, Devy Gounder</au><au>Surendran, Rajagopal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of post dilatation oesophageal perforation: an experience from a tertiary centre</atitle><jtitle>Indian journal of surgery</jtitle><stitle>Indian J Surg</stitle><addtitle>Indian J Surg</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>70</volume><issue>6</issue><spage>308</spage><epage>312</epage><pages>308-312</pages><issn>0972-2068</issn><eissn>0973-9793</eissn><abstract>Background
Treatment of oesophageal perforation remains controversial. This study shows that native oesophagus should be preserved. Early recognition improves survival.
Aim
The aim of this study was to evaluate the outcome of management of post dilatation oesophageal perforation in a tertiary centre.
Methods
Between 1999 and 2007, 35 patients with oesophageal perforation following dilatation were treated. Post dilatation corrosive stricture perforations constituted the major aetiology.
Results
Twenty-four (69%) underwent early intervention (< 24 hours) and the remaining 11 (31%) were late (>24 hours). The 30-day mortality was found to be 9%, and mean hospital stay was 14 ± 14.7 days. Comparing outcomes between early and late groups, statistically significant difference was observed, with increased mortality (p=0.001) and hospital stay (p=0.001) following late intervention.
Conclusion
Early intervention decreases mortality and hospital stay in oesophageal perforation and preservation of oesophagus may be attempted, as native oesophagus is the best conduit.</abstract><cop>India</cop><pub>Springer-Verlag</pub><pmid>23133089</pmid><doi>10.1007/s12262-008-0088-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0972-2068 |
| ispartof | Indian journal of surgery, 2008-12, Vol.70 (6), p.308-312 |
| issn | 0972-2068 0973-9793 |
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| subjects | Cardiac Surgery Early intervention Medicine Medicine & Public Health Mortality Neurosurgery Original Original Article Pediatric Surgery Plastic Surgery Surgery Thoracic Surgery |
| title | Management of post dilatation oesophageal perforation: an experience from a tertiary centre |
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