Table 1 Management options for oesophageal perforation
From: Distal thoracic oesophageal perforation secondary to blunt trauma: Case report
Clinical picture | Management | Reference |
|---|---|---|
Delayed presentation with minimal or no sepsis | Non-operative Monitor in high care facility Resuscitation I/V antibiotics Parenteral or jejunal nutrition | 23 |
Small perforation | Tissue buttressing Mediastinal debridement I/V antibiotics Parenteral or jejunal nutrition | 6,24,25,26,27 |
Large perforation | Oesophageal T tube Mediastinal debridement I/V antibiotics Parenteral or jejunal nutrition | 24 |
Large perforation and extensive contamination | Cervical oesophagostomy Decompressive gastrostomy Gastro-oesophageal stapling Feeding jejunostomy I/V antibiotics | 24,28 |
Perforation with pre-existing oesophageal disease or severely damaged oesophagus | Oesophagectomy | 28 |