Please use this identifier to cite or link to this item: https://ktisis.cut.ac.cy/handle/10488/15032
Title: Successful surgical treatment of a complicated esophageal perforation, by use of primary closure and lung parenchyma reinforcement
Authors: Schizas, Nikolaos C 
Paliouras, Dimitrios V. 
Rallis, Thomas 
Gogakos, Apostolos 
Lazopoulos, Achilleas 
Chatzinikolaou, Fotios 
Sarafis, Pavlos 
Zarogoulidis, Paul 
Katsikogiannis, Nikolaos 
Sarika, Eirini 
Karapantzos, Ιlias 
Charalampidis, Charalampos 
Barbetakis, Nikolaos G. 
Major Field of Science: Medical and Health Sciences
Field Category: MEDICAL AND HEALTH SCIENCES
Keywords: Esophagus;drainage;perforation;thoracotomy
Issue Date: Nov-2016
Source: Annals of Translational Medicine,2016, vol. 4, no. 22
Volume: 4
Issue: 22
Journal: Annals of translational medicine 
Abstract: Esophageal perforation (EP) is a medical condition which demands urgent confrontation with significant complications. The cause of the perforation may be common, spontaneous or iatrogenic, with conservative or surgical therapeutic strategy, which is needed in the majority of incidents, depending on the characteristics of the lesion. We report a case of a 68-year-old man, with the existence of an ulcerative lesion 31 cm approximately from the dental barrier, and a coexistent stenosis, diagnosed through esophagogastroduodenoscopy, which evolved to an extensive purulent necrotic mediastinitis, diagnosed through a thorax CT scan after the patient began to complain of asphyxiation during eating. A right posterolateral thoracotomy was performed along with intensive wide spectrum antibiotic therapy. Primary closure of the perforation as well as pulmonary tenting was used with satisfactory results. There was no evidence of leakage after a 12-month "follow-up" period. The early diagnosis of an EP combined with immediate surgical procedure and frequent "follow-up" of the patient, eliminate the risks for the patient's life and ensure a satisfactory outcome.
ISSN: 2305-5847
DOI: 10.21037/atm.2016.11.29
Rights: © AME Publishing
Type: Article
Affiliation : Cyprus University of Technology 
“Theagenio” Cancer Hospital 
Aristotle University of Thessaloniki 
University General Hospital of Alexandroupolis 
“Saint Luke” Private Hospital 
Democritus University of Thrace 
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