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Source Control pp 197-200 | Cite as

Invited Commentary

  • J. David Richardson
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Abstract

Infections due to esophageal perforation are obviously life-threatening. My approach to these problems is certainly influenced much less by time than the authors present in their algorithm. In fact, I really do not think that the time of perforation should enter into treatment decisions to any significant extent. In our tertiary referral center, we often have patients transferred to our institution many days after perforation. Generally, we try to treat the patients in a similar fashion regardless of the time that they are seen after esophageal perforation.

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References

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    Blichert-Toft M (1971) Spontaneous esophageal rupture: an evaluation of the results of treatment of 1944-69. Scand J Thorac Cardiovasc Surg 5:111PubMedCrossRefGoogle Scholar
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    Richardson JD, Martin LF, Borzotta AP, et al (1985) Unifying concepts in treatment of esophageal leaks. Am J Surg 149:157–162PubMedCrossRefGoogle Scholar
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    Richardson JD, Tobin GR (1994) Closure of esophageal defects with muscle flaps. Arch Surg 129:541–547PubMedCrossRefGoogle Scholar
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    Cheadle W, Richardson JD (1982) Options in management of trauma to the esophagus. Surg Gynecol Obstet 155:380–384PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2003

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  • J. David Richardson

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