ما هو علاج ثقب المريء بدون علامات عدوى جهازية وثقب محدود في التصوير؟

References

DOI: 10.1007/s11605-022-05454-2

• Approximately 25% of esophageal perforations can be treated non-operatively, particularly if the patient lacks signs of systemic infection and imaging confirms either pneumomediastinum without extravasation or a contained perforation.
• Non-operative management of acute esophageal perforation consists of intravenous fluid resuscitation, systemic antibiotics, and withholding all food and drink by mouth.
• Depending on the level of suspicion and the clinical picture, patients managed non-operatively undergo a repeat swallow study with Gastrografin® within 3–7 days of the initial injury to determine if the leak has resolved.