OBJECTIVE: To evaluate an aggressive surgical strategy in @entity1 with mediastinal @entity295 as a result of oesophageal leakage. DESIGN: A prospective clinical study. SETTING: University hospital, Sweden. SUBJECTS: 11 consecutive @entity1 who presented with mediastinal @entity295 as a result of a damaged oesophagus caused by instrumental perforation in 4 cases and @entity1409 in 6 cases during a 6-year period. INTERVENTIONS: Ten @entity1 were treated with oesophagectomy with a diverting proximal oesophagostomy and in one case a primary cervical oesophagogastrostomy was done after emergency resection. MAIN OUTCOME MEASURES: Mortality and morbidity. RESULTS: The median delay from onset of symptoms to admission to the unit was 3 days (range 0-6). All @entity1 required artificial ventilation postoperatively and the stay in the ICU amounted to 12.5 days but only 1 @entity1 died during the postoperative course. All @entity1 have subsequently undergone substernal oesophageal replacement with either a gastric tube or a colonic graft. CONCLUSION: Emergency oesophagectomy and proximal deviating oesophagostomy is a salvage procedure for @entity1 with severe fulminant mediastinal @entity295 , and it can be done in selected cases with good results.

Emergency oesophagectomy and proximal deviating oesophagostomy for fulminent mediastinal XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity1409 :: ('MESH:D012422', 'Disease') :: ['spontaneous rupture']
@entity295 :: (MESH:D018805,Disease) :: ['sepsis']
