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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