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The Annals of Thoracic Surgery, Vol 25, 346-350, Copyright © 1978 by The Society of Thoracic Surgeons

ARTICLES

Ruptures and perforations of the esophagus: the case for conservative supportive management

WS Lyons, MG Seremetis, VC deGuzman and JW Peabody Jr

A series of 31 patients treated for ruptures and perforations of the intrathoracic esophagus is reviewed. Eighteen of these patients underwent major thoracotomy; 11 were treated with minor procedures. Two died before treatment could be implemented. Of the 18 undergoing major operations, 7 died; among the 11 managed conservatively there was only 1 death. Based on this experience, we conclude that major surgical repair for esophageal perforation is often unnecessary. It has the additional drawback of sometimes resulting in equally serious secondary procedures.

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