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Oesophageal Perforation: A Diagnostic and Therapeutic Challenge in a Resource Limited Setting. A Report of Three Cases.

Balumuka, D. D., Chalya, P. L. and Mahalu, W. (2011) Oesophageal Perforation: A Diagnostic and Therapeutic Challenge in a Resource Limited Setting. A Report of Three Cases. Journal of cardiothoracic surgery, 6. p. 116. ISSN 1749-8090

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Abstract

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. 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. 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.

Item Type: Article
Keywords: Oesophageal Perforation, Thoracic Surgery,Severe Septicaemia, Nutrition,gastrostomy,thoracostomy, Physiotherapy
Subjects: Health Systems > Community Health
Divisions: Catholic University of Health and Allied Sciences (CUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 28 May 2013 07:54
Last Modified: 28 May 2013 07:54
URI: http://ihi.eprints.org/id/eprint/1457

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