Advertisement

Surgical Treatment of Esophageal Fistula and Perforation

  • Alexandr F. Chernousov
  • Nadine Roch
  • Pavel M. Bogopolski
  • Dieter C. Broering
  • Hans-Wilhelm Schreiber

Abstract

Injuries of the esophagus may be caused by mechanical, chemical, and actinic damages. Usually, they are the consequence of a blunt trauma. The exceptions are perforations of the esophagus. Injuries of the esophagus by ingestion of a foreign body arise in physiologic narrow passages (pharyngoesophageal passage, in the middle third of the aortic arch, cardioesophageal passage). A decubitus of the esophagus can be seen if a foreign body remains longer in the esophagus. Diagnostic and therapeutic endoscopy measures may also lead to injuries of the esophagus. Esophagoscopy and bougienage of a cicatricial stricture, especially in an early phase after a corrosive injury, are the most frequent reasons for an iatrogenic perforation of the esophagus. Dilatation of the cardia with the Stark’s instrument can cause a laceration and perforation. Complications for pneumatic or hydrostatic dilatation are rarely seen.

Keywords

Foreign Body Blunt Trauma Azygos Vein Direct Suture Pleural Empyema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Steinkopff Verlag 2009

Authors and Affiliations

  • Alexandr F. Chernousov
    • 1
  • Nadine Roch
    • 2
  • Pavel M. Bogopolski
    • 1
  • Dieter C. Broering
    • 3
  • Hans-Wilhelm Schreiber
    • 2
  1. 1.Department for Thoracic & Abdominal SurgeryNational Research Centre of SurgeryMoscowRussia
  2. 2.Department of General, Visceral and Thoracic SurgeryUniversity Hospital Hamburg EppendorfHamburgGermany
  3. 3.Department of General and Thoracic SurgeryChristian-Albrechts-University KielKielGermany

Personalised recommendations