Oesophageal Perforation: A diagnostic and therapeutic challenge in a resource limited setting. A report of three cases
Deo D Balumuka
Oesophageal Perforation: A diagnostic and therapeutic challenge in a resource limited setting. A report of three cases - Mwanza, Tanzania: BioMed Central & Catholic University of Health and Allied Sciences [CUHAS – Bugando] 25 September 2011 - Pages 1-5 - Balumuka, D.D., Chalya, P.L. & Mahalu, W. Oesophageal Perforation: A diagnostic and therapeutic challenge in a resource limited setting. A report of three cases. J Cardiothorac Surg 6, 116 (2011). https://doi.org/10.1186/1749-8090-6-116 Journal of cardiothoracic surgery Volume 6 Issue 1 .
Abstract:
Background: Oesophageal perforation is a condition associated with a high mortality. Its management is still controversial with operative treatment being favoured but a shift to conservative management is occurring. Very little exists in medical literature about its management in Sub-Saharan Africa, where the paucity of thoracic surgeons is compounded by limited diagnostic and therapeutic facilities.
Case Presentation: We report three cases of oesophageal perforation which were all treated conservatively with tube thoracostomy, nil by mouth with feeding gastrostomy, intravenous antibiotics and chest physiotherapy. Two patients achieved oesophageal healing but one died due to severe septicaemia.
Conclusion: In a resource restricted setting, conservative management which includes enteral nutrition by feeding gastrostomy, tube thoracostomy to drain inter pleural contaminants, intravenous antibiotics and chest physiotherapy is a safe and effective treatment for oesophageal perforations. = Methylene Blue Tube Thoracostomy Chest Physiotherapy High Grade Fever Oesophageal Perforation
Phone: +255 28 298 3384 Fax: +255 28 298 3386 Email: vc@bugando.ac.tz Website: www.bugando.ac.tz
Oesophageal Perforation: A diagnostic and therapeutic challenge in a resource limited setting. A report of three cases - Mwanza, Tanzania: BioMed Central & Catholic University of Health and Allied Sciences [CUHAS – Bugando] 25 September 2011 - Pages 1-5 - Balumuka, D.D., Chalya, P.L. & Mahalu, W. Oesophageal Perforation: A diagnostic and therapeutic challenge in a resource limited setting. A report of three cases. J Cardiothorac Surg 6, 116 (2011). https://doi.org/10.1186/1749-8090-6-116 Journal of cardiothoracic surgery Volume 6 Issue 1 .
Abstract:
Background: Oesophageal perforation is a condition associated with a high mortality. Its management is still controversial with operative treatment being favoured but a shift to conservative management is occurring. Very little exists in medical literature about its management in Sub-Saharan Africa, where the paucity of thoracic surgeons is compounded by limited diagnostic and therapeutic facilities.
Case Presentation: We report three cases of oesophageal perforation which were all treated conservatively with tube thoracostomy, nil by mouth with feeding gastrostomy, intravenous antibiotics and chest physiotherapy. Two patients achieved oesophageal healing but one died due to severe septicaemia.
Conclusion: In a resource restricted setting, conservative management which includes enteral nutrition by feeding gastrostomy, tube thoracostomy to drain inter pleural contaminants, intravenous antibiotics and chest physiotherapy is a safe and effective treatment for oesophageal perforations. = Methylene Blue Tube Thoracostomy Chest Physiotherapy High Grade Fever Oesophageal Perforation
Phone: +255 28 298 3384 Fax: +255 28 298 3386 Email: vc@bugando.ac.tz Website: www.bugando.ac.tz