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SHORT-TERM OUTCOME OF PRIMARY REPAIR FOR ESOPHAGEAL PERFORATION
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Abstract
Introduction: Esophageal perforations are rare injuries but associated with a high rate of morbidity and mortality. However, the optimal cure for individual is still a controversy. There is an increasing consensus that primary repair provides good results for esophageal perforations, even not diagnosed on time. Therefore, we review and describe short-term outcomes of primary repair for esophageal perforation at the Binh Dan hospital in a 5 years period. Materials and Methods: A case-series study was conducted to describe the outcomes of primary repair for esophageal perforation at the Binh Dan hospital in a 5 years period from 2015 through 2020. Results: Primary repair for thoracic esophageal perforations was applied in 24 out of 38 consecutive patients. Regarding esophageal location, 10 (42%) patients presented cervical, 10 (42%) thoracic, and 4 (16%) abdominal injuries. Overall successful rate was 88%, 3 patients (12%) need a second operation. Leakage occurred after primary repair in 8 (33%) patients. No mortality was reported. Conclusion: The diagnosis and management of esophageal perforation remains a challenging clinical problem. Primary repair is the treatment of choice for esophageal perforation with highly successful rate.
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Keywords
esophageal perforation, primary repair
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