Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Surgical managements of Thoracic Esophageal Rupture - 4 Cases Reports -

흉부식도 파열에 대한 외과적 치험 - 4례 보고 -

  • Jin, Ung (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea, College of Medicine) ;
  • Park, Jae-Kil (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea, College of Medicine) ;
  • Lee, Sun-Hee (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea, College of Medicine) ;
  • Kwack, Moon-Sub (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea, College of Medicine)
  • 진웅 (가톨릭대학교 의과대학 성모병원 흉부외과학교실) ;
  • 박재길 (가톨릭대학교 의과대학 성모병원 흉부외과학교실) ;
  • 이선희 (가톨릭대학교 의과대학 성모병원 흉부외과학교실) ;
  • 곽문섭 (가톨릭대학교 의과대학 성모병원 흉부외과학교실)
  • Published : 1999.06.01
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Abstract

Perforating injury of the thoracic esophagus leads to an almost Immediate exposure of the mediastinum to both oral secretions and refluxed gastric contents. And necrotizing inflammatory response developed inevitably. So, without proper managements, mediastinitis results in severe dehydration or septic conditions, and consequently the life of the patient can be threaten. We experienced recently 4 cases of esophageal perforation. Three cases were Boerhaave's syndromes and the other one was instrumental perforation in patient with corrosive esophageal stricture. Curative surgical procedures were done in 3 cases and the drainage procedure was only possible in the other one due to hepatic failure. And the patient with the drainage management was dead.

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