ESOPHAGEAL PERFORATIONS: DIAGNOSIS AND TREATMENT

Abstract

Background. Rendering medical care to patients with damage and failure of esophageal sutures remains a controversial and relevant topic. Objective. To provide a literature review on the diagnosis and treatment of esophageal perforation (EP), paying particular attention to the group of patients with delayed admission to the hospital and with various complications. Material and methods. The data published by domestic and foreign authors are analyzed and treatment outcomes of patients with EP admitted to the Department of thoracic surgery of Brest Regional Clinical Hospital are presented. Results. The literature data on EP treatment options are reflected and clinical outcomes of EP patients treated in the Department of thoracic surgery of the Healthcare Institution ‘Brest Regional Clinical Hospital’ using an original technique involving installation of a collapsible T-shaped drainage system with the formation of a “controlled fistula” are presented. The mortality rate of patients with endoscopic interventions for PN amounted to 10%. Conclusions. Currently, according to various authors, the overall EP mortality rate reaches 67%. The use of videothoracoscopic interventions for EP can reduce the mortality up to 10%.