Barrett's ulcer: cause of spontaneous oesophageal perforation.
نویسندگان
چکیده
We report two patients, who presented within six months with the classic clinical picture of 'spontaneous' oesophageal perforation, which was caused by a perforated Barrett's ulcer. These two cases underline the importance of postoperative endoscopy in ruling out intrinsic oesophageal disease as the cause of the rupture in every patient, who survives this life threatening condition.
منابع مشابه
Oesophageal cancer is an uncommon cause of death in patients with Barrett's oesophagus.
BACKGROUND Barrett's oesophagus carries a 30-fold to 40-fold increased risk of oesophageal cancer. It is unknown whether endoscopic surveillance programmes reduce mortality from oesophageal cancer. METHODS A cohort study was undertaken of all 166 patients in whom the diagnosis Barrett's oesophagus had been established between 1973 and 1986. RESULTS One hundred and fifty five of 166 patients...
متن کاملPressure rupture and spontaneous perforation of the oesophagus DOUGLAS
In 1946, when Barrett reviewed all the recorded cases of spontaneous perforation of the oesophagus, he was able to collect 60 among which there were no survivors. He concluded his paper with the following remarks: 'In the byeways of surgery there can be few conditions more dramatic in their presentation and more terrible in their symptoms than spontaneous perforation of the oesophagus. No case ...
متن کاملPressure Rupture and Spontaneous Perforation of the Oesophagus.
In 1946, when Barrett reviewed all the recorded cases of spontaneous perforation of the oesophagus, he was able to collect 60 among which there were no survivors. He concluded his paper with the following remarks: 'In the byeways of surgery there can be few conditions more dramatic in their presentation and more terrible in their symptoms than spontaneous perforation of the oesophagus. No case ...
متن کاملBenign oesophageal stricture in Barrett's columnar epithelialised oesophagus and its responsiveness to conservative management.
The response to treatment of peptic oesophageal stricture associated with columnar lined (Barretts) oesophagus (CLO) has been compared with that in peptic stricture without CLO. Benign oesophageal stricture was present in 23 (41%) of 56 patients consecutive with CLO. In 18 the stricture lay at the squamocolumnar mucosal junction and was associated with reflux oesophagitis, in five it was situat...
متن کاملSudden death from perforation of a benign oesophageal ulcer into a major blood vessel.
Two cases of sudden death due to perforation of a benign oesophageal ulcer into a major blood vessel are reported. In one man, anaemia and aspiration pneumonitis dominated the clinical picture. He had an oesophageal stricture and a chronic peptic ulcer associated with an incarcerated hiatus hernia. Death was due to haemorrhage caused by perforation of the ulcer into the thoracic aorta. The seco...
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ورودعنوان ژورنال:
- Gut
دوره 30 3 شماره
صفحات -
تاریخ انتشار 1989