J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3220KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 85(6): 592-597, 1984

Original article

THREE SURGICALLY TREATED CASES OF SPONTANEOUS REPTURE OF THE ESOPHAGUS WITH REFERENCES TO A NEW SURGICAL APPROACHEVERSION STRIPPING AND ESOPHAGOGASTROSTOMY THROUGH THE POSTERIOR MEDIASTINUM

*) Department of Thoracic Surgery, The Kansai Medical University, Moriguchi, Japan
**) Department of Surgery, The Kansai Medical University, Moriguchi, Japan

Tsutomu Osako*), Akitoshi Tatsumi*), Kazuo Ohmoto*), Yukihito Saito*), Toshitake Mogi*), Atoh Masuda*), Akira Nonoyama*), Terumasa Kagawa*), Naoki Nakamura**), Koshiro Hioki**), Masakatsu Yamamoto**)

Three surgical cases of spontaneous rupture of the esophagus were reported. Case 1 was a 56-year-old man who was admitted 3 days after the onset was treated with open drainage. He had no complications whatsoever 8 years after the treatment. In case 2 (a 55-year-old man), eversion stripping of the esophagus and gastrostomy were performed 2 months after diagnosis, but esophageal reconstruction was not successful. He died of acute congestive heart failure 5 years after surgery. The third case was a 60-year-old women whose rupture was confirmed 11 days after the onset. Cervical esophagostomy, gastrostomy and jejunostomy were performed 16 days after the rupture. Thereafter, esophageal eversion stripping and esophagogastrostomy through the posterior mediastinum were successfully carried out 2 months after the first surgery. She had no postoperative complications. Eversion stripping of the esophagus with esophagogastrostomy through the posterior mediastinum is an effective and safe method for some advanced cases of spontaneous esophageal rupture. We have not found any reports of surgical cases with spontaneous esophageal rupture treated by this approach in the literature.

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