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Robert L. Fulton, MD; R. Neal Garrison, MD; Hiram C. Polk, Jr, MD

Arch Surg. 1979;114(1):90-92.

Abstract
• Perforation of the esophagus during placement of esophageal tubes for palliation of obstructing inoperable cancer is a well-known complication that may preclude satisfactory amelioration of symptoms. Experience with two such patients suggests that the complication can best be treated by proper placement of the tube so that it seals the leak and bypasses the obstruction. Judicious use of antibiotics is beneficial. Drainage of the mediastinum may also be necessary. Resectional or extensive operative therapy is probably not wise in these ill and debilitated patients, particularly if the cancer is incurable.

(Arch Surg 114:90-92, 1979)

Author Affiliations
From the Department of Surgery, University of Louisville (Ky) School of Medicine, Health Sciences Center.

Footnotes
Accepted for publication July 7, 1978.

Reprint requests to Department of Surgery, University of Louisville School of Medicine, PO Box 35260, Louisville, KY 40232 (Dr Polk).

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