OESOPHAGEAL PERFORATION

OESOPHAGEAL PERFORATION

Oesophageal perforation is associated with high morbidity and mortality rates. It is an emergency and prompt treatment should be instituted because delayed diagnosis and treatment are associated with a marked increase in mortality rate. Baron Carl von Rokitansky , 1804–1878, pathologist, philosopher and politician, Vienna, Austria, classified oesophageal diverticula as either traction or pulsion in 1840. Louis Hamman , 1877–1946, physician, Johns Hopkins Hospital, Baltimore, MD, USA. - - - - -

Figure 66.31 A linear stapler is introduced orally and the ‘ridge’ including the muscle is divided.