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David R. Hantke, MD; Larry A. Hoover, MD; Lionel Zuckerbraun, MD

Arch Otolaryngol Head Neck Surg. 1988;114(4):457-459.

Abstract
• Despite continuing advances in the surgical and nutritional management of esophageal perforation, morbidity and mortality remain significant. Described within is the successful management of two such cases by the physiologic exclusion of the esophagus. By this, we mean distal decompression and proximal diversion and decompression through a gastrostomy and cervical esophagostomy. This provides the greatest chance for protection of the esophageal suture line repair.

(Arch Otolaryngol Head Neck Surg 1988;114:457-459)

Author Affiliations
From the Divisions of Head and Neck Surgery (Otolaryngology), UCLA School of Medicine (Drs Hoover and Hantke), and Olive View Medical Center, Los Angeles (Drs Hoover and Zuckerbraun).

Footnotes
Accepted for publication Aug 20, 1987.

Read before the American College of Surgeons meeting, Santa Barbara, Calif, Jan 17, 1987.

Reprint requests to Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Hoover).

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