Journal of Surgery and Anesthesia

Journal of Surgery and Anesthesia
Open Access

ISSN: 2684-1606


Ashish Dua

Department of Surgery, Government Medical College and Hospital, Chandigarh, India

  • Research Article   
    Oesophageal Perforation Management in a Tertiary Care Hospital
    Author(s): Usha R Dalal, Ashwani K Dalal*, Ravinder Kaur, Lakesh Anand and Ashish Dua

    Recognition of oesophageal injury is often delayed due to its protean manifestations. Principles of management are: control of sepsis and contamination by diversion and/or drainage, nutrition, broad spectrum antibiotics and restoration of continuity. Age, general condition of the patient, aetiology, the anatomical location and size of perforation, early versus delayed presentation, clinical condition of the patient, underlying oesophageal disease and other associated co-morbid medical conditions are important determinants of the outcome. Primary repair is the gold standard treatment in early hours. Drainage and diversion are required when perforation is not localised and in late and unstable cases. Endoscopic stenting with drainage may be useful in selected cases. Oesophagectomy is required in extensive damage, stricture or carcinoma. We retrospectively analyzed the data of .. Read More»
    DOI: 10.35248/2684-1606.20.4.127

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