Nonoperative management of contained esophageal perforation
O. S. Andersen and P. E. Giustra
Spontaneous perforation of the esophagus still carries a high rate of
morbidity and mortality because of frequent delay in diagnosis, extensive
mediastinal contamination, and inadequate surgical repair. We used a
nonoperative approach in two patients in whom the perforation was well
contained, with evidence of drainage back into the esophagus and few
symptoms or signs of sepsis. Nonoperative management included
administration of intravenous antibiotics and hyperalimentation. Both
patients had a satisfactory outcome.
