Strategies of the treatment of spontaneous esophageal rupture: Report of thirteen cases from Xingtai, Hebei Province, China

Authors

  • Di Yonghui Department of Thoracic Surgery, Xingtai People’s Hospital, Xingtai, Hebei Province, 054001

DOI:

https://doi.org/10.3126/ajms.v7i3.13798

Keywords:

Spontaneous esophageal rupture, Operative treatment, Conservative treatment

Abstract

Aims and Objectives: To explore the treatment of spontaneous esophageal rupture.

Materials and Methods: The treatments of thirteen patients hospitalized with spontaneous
esophageal rupture were analyzed retrospectively. Initially three cases of hospitalized patients were given operative treatments. During the surgery, food residue and necrotic tissue were removed, and repair of esophageal rupture and jejunostomy were implemented. One closed chest drainage tube was placed at the end of the surgery. All the patients were given nutritional support through vein and nutrient canal placed into the jejunum. The remaining ten cases were given conservative treatments. Early treatments included closed chest drainage, and irrigation with normal saline by the patients’ swallowing. At the same time were given intravenous nutrition. When the patients’ conditions were improved, three cases were given nutrition through nasogastric tube at the same time. The remaining seven cases were given jejunostomy and were given nutritional support through vein and nutrient canal placed into the jejunum.

Results: In the fi rst 3 patients, who were given emergency operative treatments, two cases died, only single case (33%) recovered. In the other ten cases, one case gave up treatment and discharged from hospital (died of infection with multiple organ failure after discharge). One case had encapsulated pyothorax with atelectasis after chest drainage, and the healing of esophagus rupture were infl uenced, so at the 25th day after esophageal rupture, pyothorax removal and repair of esophageal rupture were implemented, and the patient was recovered well after surgery. The rest eight cases were recovered well after closed chest drainage treatment (80%) without surgery.

Conclusion: For the treatment of spontaneous esophageal rupture, we think that it should be given priority to conservative treatment. With adequate drainage and irrigation, and keeping balance of nutritional condition and water-electrolyte, a good therapeutic effect can usually be achieved.

Asian Journal of Medical Sciences Vol. 7(3) 2016 89-93

Downloads

Download data is not yet available.
Abstract
808
PDF
817

Downloads

Published

2016-01-06

How to Cite

Yonghui, D. (2016). Strategies of the treatment of spontaneous esophageal rupture: Report of thirteen cases from Xingtai, Hebei Province, China. Asian Journal of Medical Sciences, 7(3), 89–93. https://doi.org/10.3126/ajms.v7i3.13798

Issue

Vol. 7 No. 3 (2016)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).