Internal Drainage of an Esophageal Perforation in a Patient with a High Surgical Risk.

Internal Drainage of an Esophageal Perforation in a Patient with a High Surgical Risk. Korean J Thorac Cardiovasc Surg. 2017 Oct;50(5):395-398 Authors: Kim H, Kim Y, Cho JH, Min YW Abstract A 71-year-old man presented with a productive cough and fever, and he was diagnosed as having an esophageal perforation and a mediastinal abscess. He had a history of traumatic hemothorax and pleural drainage for empyema in the right chest and was considered unable to tolerate thoracic surgery because of sepsis and progressive aspiration pneumonia. In order to aggressively drain the mediastinal contamination, we performed internal drainage by placing a Levin tube into the mediastinum through the perforation site. This procedure, in conjunction with controlling sepsis and providing sufficient postpyloric nutrition, allowed the esophageal injury to completely heal. PMID: 29124034 [PubMed]
Source: Korean Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research