Perforation of the Esophagus: Experience from a Department of Thoracic Surgery

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Abstract
A series of 39 patients treated for perforation of the esophagus in a department of thoracic surgery is presented and discussed. All but 3 of the lesions arose from instrumentation within the esophagus. The treatment was mainly operative. There were no deaths among the 9 patients with perforation of the cervical esophagus, but the mortality was 63% in the patients with thoracic lesions, partly as a result of frequent presence of serious disease in other organs. The importance of more regorous attention during intra-esophageal instrumentation to early detection and treatment of perforation is stressed.

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