Repair of traumatic oesophageal injury

• Management Options
  • Endoscopic covered stent
  • Surgery → Wide drainage, repair
    • Principles of surgical management
      • Source control - Debridement, defect closure 2 layers, drainage
      • Feeding - PEG or feeding jejunostomy
    • If less severe (1-3)
      • Primary closure or over T-tube
    • If severe (4-5)
      • Oesophagectomy
      • End oesophagostomy and distal oesophagectomy
      • Delayed oesophageal reconstruction
        • OG
        • Colonic conduit