TY - JOUR AU - Walbaum, P R AB - Correspondence oesophagus by one of the methods describedJ3’ combined with thorough Authors’ reply drainage of the involved pleural space and feeding enterostomy Sir (recommended also by the authors) is not a major surgical insult to those We have no doubt that SVA is a useful pre-operative investigation in desperately ill patients, but a life saving procedure’. We feel that the patients with undiagnosed gastrointestinal bleeding. Pre-operative authors’ recommendation for conservative treatment of late diagnosed diagnosis is always an advantage over inaccurate ‘time honoured’ oesophageal rupture is dangerous. procedures at laparotomy. M. Schein Like many District General Hospitals we have a 24h upper R. Saadia gastrointestinal service but not an early lower gastrointestinal J. R. Jamieson endoscopy service. It is reported that visualization can be particularly Department of Surgery difficult during the latter procedure when bleeding is acute. J. G. Strijdom Hospital and the University of Wtwatersrand In the 11 out of 386 patients in 2 years in whom SVA was done, it is Johannesburg true that the 4 tumours could have been found at blind laparotomy. South Africa However, it is highly unlikely that the bleeding points would have been found in the others, in whom the external surface TI - Spontaneous oesophageal rupture JO - British Journal of Surgery DO - 10.1002/bjs.1800720937 DA - 1985-09-01 UR - https://www.deepdyve.com/lp/oxford-university-press/spontaneous-oesophageal-rupture-eYoRSSpbho SP - 766 EP - 766 VL - 72 IS - 9 DP - DeepDyve ER -