Role of primary repair in spontaneous esophageal rupture management: decades of experience from a single center

Other post-operative measures were the same as the aggressive conservative management groups (non-operative management), including the cessation of oral intake, drainage of the upper digestive tract and pleural cavity, and application of broad-spectrum antibiotics. During the treatment period, patie...

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Bibliographic Details
Published in:Chinese medical journal 2020-12, Vol.133 (23), p.2885-2886
Main Authors: Li, Bao-Zhong, Xu, Xin-Jian, Zhu, Hui, Chen, Xin, He, Ming
Format: Article
Language:English
Subjects:
Esophageal Perforation
Esophagus
Fistula
Food
Hospitals
Humans
Mediastinal Diseases
Mortality
Nutrition
Ostomy
Rupture, Spontaneous
Sepsis
Thoracentesis
Thoracic surgery
Vomiting
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Summary:Other post-operative measures were the same as the aggressive conservative management groups (non-operative management), including the cessation of oral intake, drainage of the upper digestive tract and pleural cavity, and application of broad-spectrum antibiotics. During the treatment period, patients with severe sepsis, respiratory failure, or multiple-organ dysfunction syndrome (MODS) were transferred to intensive care unit for further care. [...]the 30-day mortality and the pre-1992 and post-1992 mortality were not significantly different between the two groups (all P > 0.05). Since the first description of this condition by Hermann Boerhaave in 1724 and the first successful surgical repair performed by Barrett in 1947,[4] people come to know more about Boerhaave syndrome than before.
ISSN:0366-6999
2542-5641
DOI:10.1097/CM9.0000000000001153