This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (134)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

LOUIS R. MENGOLI, MD; KARL P. KLASSEN, MD

AMA Arch Surg. 1965;91(2):238-240.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

SINCE the impetus given endoscopy by Chevalier Jackson in the early years of this century, esophagoscopy has remained a valuable adjunct to the diagnosis and treatment of esophageal disease. Perforation of this thin-walled organ has, however, remained a constant source of worry to the endoscopist. Until 1940, perforation of the esophagus was accompanied by an appalling mortality rate. Subsequently it became recognized that early surgical intervention with closure of the perforation dramatically reduced this mortality rate. The present study gives our experience with nonoperative treatment of esophageal perforation resulting from endoscopy and highlights the impact of antibiotics on this dread complication.

In 1948, Jemerin,¹ in analyzing esophageal perforations of diverse etiologies, reported a mortality rate of 69% in patients treated non-operatively. He was able to reduce this mortality rate dramatically with the introduction of early drainage of the mediastinum and closure of the perforation, or both. Most large . . . [Full Text PDF of this Article]

Author Affiliations
COLUMBUS, OHIO

From the Division of Thoracic Surgery, Ohio State University.

Footnotes
Read before the 22nd Annual Meeting of the Central Surgical Association, Milwaukee, March 4-6, 1965.

Reprint requests to Ohio State University (Dr. Mengoli).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?