esophageal perforation

Background: Iatrogenic esophageal perforation after endoscopy or surgery can be a devastating event.

背景：在内腔镜检查或手术后医源性食管穿孔是灾难性的结局。

Objective: To study the diagnosis and surgical treatment of esophageal perforation.

摘要目的: 探讨食管穿孔的诊断与外科治疗方法.

Analysis to curative effect between delayed repair of esophageal perforation and earlier period repair

延迟与早期手术修补食管穿孔疗效分析

Treatment of Severe Complication of Esophageal Perforation by Foreign Body

食道异物穿孔后严重并发症的处理

OBJECTIVE Approach the cause of esophageal perforation and the analysis of diagnosis, therapy and its outcome in this disease.

目的探讨食管穿孔病因、诊断、治疗方法及其结果，以提高其治愈率。

One esophageal perforation occurred during surgery, and was repaired by conversion to open abdomen surgery. The complication rate was 12.5% ( 1/ 8).

腹腔镜组1例术中发现食管穿孔予改开腹手术进行修补成功，并发症发生率为12.5%（1/8）。

Prevention and Treatment for Stoma Ulcer Management of Thoracic Esophageal Perforation

吻合口溃疡防治胸部食管穿孔的治疗

Results Sixty seven cases of the 78 patients were complicated with chest pain, gastroesophageal regurgitation, postoperative recurrent stenosis, stent migration, esophagorrhagia esophageal perforation and cardiac arrhythmia.

结果78例中67例出现并发症，如胸骨后疼痛、食管胃内容物返流、支架置入后再狭窄或堵塞、支架移位、食管出血、穿孔以及心率失常等。

Esophagostenosis patients had complication of esophageal perforation, and were cured with self-expanding metal stent or surgical therapy.

术中发生食管穿孔2例，经带膜支架置入术治愈1例，外科手术治愈1例。

Diagnosis is difficult to make, which requires combining clinical manifestations and test results, and suspicion for the esophageal perforation is critically important.

该并发症诊断较困难，需要综合临床表现和辅助检查结果，临床医师的怀疑与排查尤显重要。

Improved Surgical Management of Spontaneous Esophageal Perforation

自发性食管穿孔的治疗改进

Research advances of esophageal perforation in China

我国食管穿孔研究进展

Case of taint caused by esophageal perforation;

食管破裂感染1例；

Esophageal perforation occurred in 6 patients, which was resulted from the impaction in 4 patients and the procedure for foreign body removal in 2 patients.

食管穿孔6例，4例由食管异物本身造成，2例取异物时手术所致；

Conclusion The nutritional support of PN+ EN can improve the immunological function of esophageal perforation patients and is a reasonable nutritional support pattern for esophageal perforation patients.

结论PN+EN较TPN更能改善食管穿孔患者机体的免疫功能，促进患者更早康复，是食管穿孔比较合理的营养支持方式。

The patients' general conditions improved obviously, neither hematological nor immunological examination changed obviously, nor complications such as esophageal perforation or hematorrhea.

患者全身一般状况明显好转，血象和免疫指标亦未见明显变化，未出现如食管穿孔、出血等并发症；

Recently, the patient still receives treatment. Conclusion: Esophageal perforation is an uncommon complication with serious consequences after anterior cervical spine surgery.

结论：食管瘘是颈椎前路手术并发的一种比较罕见，后果严重的并发症。

Study on emergency therapeutic principle and treatment of esophageal perforation

食管穿孔急诊处理原则及治疗方式的探讨

In between group A and group B, the massive hemorrhage and the esophageal perforation did not occur; the obstruction of the successful treatment patients was basically relieved and their dysphagia symptoms were obviously improved.

A、B两组均无大出血、食管穿孔发生，治疗成功者基本解除了梗阻，吞咽困难症状得到了明显改善。

Methods: retrospective analysis was made in28 cases of the esophageal perforation hospitalized from1980to2005in our hospital.

方法：回顾分析1980~2005年我院收治的食管穿孔28例。

Results Totally 40 of 45 ( 88.9%) balloon dilatation sessions were successful and there was no esophageal perforation.

结果45次球囊扩张术有40次扩张成功。成功率为88.9%。

Effect of covered-metallic stent placement on postradiotherapy esophageal perforation in patients with unresectable esophageal carcinoma

晚期食管癌附膜金属内支架置入对放疗后穿孔的预防和治疗价值

Results Endoscopic mucosal resection was fulfilled in 154 cases. Arteriolar hemorrhage from the wound, 11.7% and esophageal perforation, 1.3% happened. All of them were cured uneventfully.

结果完成154例内镜粘膜切除术，发生创面小动脉出血发生18例（11.7%），食管穿孔2例（1.3%），经处理后均顺利痊愈。