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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 67巻3号

Transabdominal Approach for Spontaneous Oesophageal Perforation: A Review of Four Cases

https://hiroshima.repo.nii.ac.jp/records/2013752
https://hiroshima.repo.nii.ac.jp/records/2013752
9da53bb0-beb2-4608-8200-1ffe4b920358
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_67_93.pdf HiroshimaJMedSci_67_93.pdf (419.7 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Transabdominal Approach for Spontaneous Oesophageal Perforation: A Review of Four Cases
言語 en
作成者 Ono, Kosuke

× Ono, Kosuke

en Ono, Kosuke

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Sakimoto, Hideto

× Sakimoto, Hideto

en Sakimoto, Hideto

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Fukuhara, Sotaro

× Fukuhara, Sotaro

en Fukuhara, Sotaro

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Imaoka, Koki

× Imaoka, Koki

en Imaoka, Koki

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Sawada, Hiroyuki

× Sawada, Hiroyuki

en Sawada, Hiroyuki

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Shishida, Masayuki

× Shishida, Masayuki

en Shishida, Masayuki

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Fujisaki, Seiji

× Fujisaki, Seiji

en Fujisaki, Seiji

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Hirata, Yuzo

× Hirata, Yuzo

en Hirata, Yuzo

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Fukuda, Saburo

× Fukuda, Saburo

en Fukuda, Saburo

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Takahashi, Mamoru

× Takahashi, Mamoru

en Takahashi, Mamoru

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 Copyright (c) 2018 Hiroshima University Medical Press
主題
主題Scheme Other
主題 Oesophageal perforation
主題
主題Scheme Other
主題 Boerhaave’s syndrome
主題
主題Scheme Other
主題 transabdominal approach
主題
主題Scheme NDC
主題 490
内容記述
内容記述 Spontaneous oesophageal perforation is an uncommon and life-threatening disease. Although several methods of treatment have been proposed, surgical treatment is considered the standard procedure. Primary repair using the transthoracic approach is the most common. However, few studies have evaluated the characteristics of the transabdominal approach. This study aimed to investigate the clinical outcomes of spontaneous oesophageal perforation that was surgically treated using the transabdominal approach. We retrospectively reviewed all patients with spontaneous oesophageal perforation who were admitted to the surgical department of our institution between November 2010 and April 2017, and identified a total of four patients. Data including demographic factors (age and sex), location of perforation, time to operation, operative method, complications, length of hospital stay, and postoperative recovery were reviewed. In all four cases, we treated the defect using the transabdominal approach, which provides a good surgical field of view. The aims of operative intervention, namely primary repair and access for enteral feeding, can be achieved using this approach. The most commonly observed complication was pyothorax, and we suggest the addition of intrapleural drainage for its prevention. Dysgraphia was observed in two patients, which improved with conservative treatment. The overall mortality rate was 0%. Our results demonstrate that primary repair using the transabdominal approach is safe and effective for the management of spontaneous oesophageal perforation. Addition of intrapleural drainage can improve the outcome associated with this approach.
言語 en
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連情報
識別子タイプ DOI
関連識別子 10.24811/hjms.67.3_93
関連情報
識別子タイプ DOI
関連識別子 https://doi.org/10.24811/hjms.67.3_93
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 2433-7668
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 93
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 67, 号 3, p. 93-96, 発行日 2018-09
旧ID 46498
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