Objective:To design a technique of esophagus-stomach-abdominal wasll drainage for the de-layed intrathoracic esophageal perforation and to improve the thera peutic results.Methods:Four patients were treated by this simplified technique.There were 1 case of lower intrathoracic esophageal perforation to the left thorax,1 high and 2 middle perforation to the right.This technique used two plastic tubes(chest tube) in a diameter about 1.2cm.One tube served as an intercostal drainage tube to drain purulent effusion,the other was inserted abdominally through stomach to the esophagus about 10cm above the esophageal perforation.Results:The four patients were treated successfully by the esophagus-stomach-abdominal walldrainage.There was no mortality or severe morbidity or complication.Hospitalizations were shortened.Conclusion:This tech-nique is simple,safe and effective.It may provide a more promising alternative method of treatment for delayed esophageal perforation,especially in the critically ill patients.The procedure can also be extended to deal with esophagus-stomach anastomotic leak.
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