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Management of post dilatation oesophageal perforation: an experience from a tertiary centre

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Indian Journal of Surgery Aims and scope Submit manuscript

An Erratum to this article was published on 01 February 2009

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.

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Authors and Affiliations

  1. Institute of Surgical Gastroenterology, Centre for GI bleed & Division of Hepato Biliary Pancreatic Diseases, Gastroenterology Block, Government Stanley Medical College Hospital, Chennai, India

    Anbalagan Amudhan, Tirupporur Govindaswamy Balachandar, Shanmugasundaram Rajendran, Vellayudham VimalRaj, Govindhasamy Rajarathinam, Palanisamy Ravichandran, Satyanesan Jeswant, Devy Gounder Kannan & Rajagopal Surendran

Authors
  1. Anbalagan Amudhan
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  2. Tirupporur Govindaswamy Balachandar
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  3. Shanmugasundaram Rajendran
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  4. Vellayudham VimalRaj
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  5. Govindhasamy Rajarathinam
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  6. Palanisamy Ravichandran
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  7. Satyanesan Jeswant
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  8. Devy Gounder Kannan
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  9. Rajagopal Surendran
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Corresponding author

Correspondence to Anbalagan Amudhan.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s12262-009-0016-5.

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Amudhan, A., Balachandar, T.G., Rajendran, S. et al. Management of post dilatation oesophageal perforation: an experience from a tertiary centre. Indian J Surg 70, 308–312 (2008). https://doi.org/10.1007/s12262-008-0088-7

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  • DOI: https://doi.org/10.1007/s12262-008-0088-7

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