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Table 4 Treatment strategies in esophageal perforations

From: Esophageal perforation in South of Sweden: Results of surgical treatment in 125 consecutive patients

Number in figure 2

 

1

2

3

4

5

Thoracotomiced patients

All

+ Pharyngostoma+simple suture

+ Pharyngostoma

+ Simple suture

Only Drainage (+/- stent)

Esophageal resection or exclusion

n (%)

99 (79)

13 (10)

20 (16)

34 (27)

24 (24)

8 (8)

Pre-operative ASA score

      

   mean

2,8

3,0

2,8

2,7

2,7

2,4

Post-operative complications

47 (47)

10 (77)

9 (45)

16 (47)

9 (38)

4 (50)

Re-operations

12 (12)

2 (15)

3(15)

3 (9)

3 (12)

1 (12)

Days in hospital

      

median (min-max)

25 (3-132)

45 (16-67)

36 (5-132)

21 (5-70)

21 (3-102)

22 (4-87)

Hospital mortality

20 (20)

2 (15)

4 (20)

7 (21)

3 (12)

4 (50)

Mortality < 90 days post op

19 (19)

2 (15)

3 (15)

7 (21)

3 (12)

4 (50)

  1. There were 3 patients in the group "only drainage" who received a covered stent. Among these patients there was one re-operation but no mortality.
  2. ASA score ranges from 1 (healthy) to 5 (moribund)