[Surgical treatment of life-threatening XXXX following esophageal perforation or leakage after esophagus surgery].

@entity1 @entity295 @entity146 @entity5 @entity1764
OBJECTIVE: Evaluation of the surgical treatment of life-threatening @entity1764 following oesophageal perforation or leakage after resection for @entity5 . DESIGN: Descriptive retrospective. SETTING: Department of Surgery, University Hospital Utrecht. METHODS: Between June 1989 and October 1994, 18 @entity1 with severe @entity1764 and @entity295 following perforation of the oesophagus or leakage after oesophageal resection for @entity5 were treated with aggressive surgery. (Peri-)anastomotic leakage was the cause of @entity1764 and @entity295 in 14 @entity1 , 3 @entity1 perforated during endoscopy and 1 @entity1 suffered a spontaneous perforation. @entity146 surgery consisted of removing the oesophageal replacement from the mediastinum, creating an oesophago-cutaneostomy and a feeding enterostomy and drainage of the mediastinum and interpleural spaces. RESULTS: All @entity1 survived; however, postoperative morbidity was high. The alimentary tract was reconstructed in 15 @entity1 . CONCLUSION: @entity146 surgical treatment of life-threatening @entity1764 and @entity295 as described here can save severely ill @entity1 . Because of the high postoperative morbidity level only @entity1 with perforations of the oesophagus and early stages of @entity5 should be operated.
