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Figure 3: Suggested treatment paradigm for spontaneous oesophageal perforation
:
Early diagnosis based on water soluble swallow study/CT scan
Uncontained leak
Contained leak (usually late presentations)
Presentation<24hrs
Presentation>24 hours or repair not possible
Transthoracic/ Transhiatal repair + Decompressing gastrostomy & feeding jejunostomy
Closure over t-tube or Exclusion + diversion or Oesophagectomy
Nil by mouth Nasogastric tube decompression Intravenous antibiotics HDU/ITU management Nutritional Support
Deterioration
Recovery
Delayed reconstruction with colon or supercharged jejunum
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the royal college of surgeons of edinburgh
11 th conference for dental care professionals New Horizons – Responsibilities and Opportunities Saturday 17 March 2007 09:00 – 16:15 £48 – Individuals £44 – Groups of three or more*
www.surgeonshallcomplex.com An exciting new conference facility in the heart of Edinburgh at the Royal College of Surgeons on Nicolson Street, 10 minutes from the Castle and Princes Street. The complex offers a fantastic variety of venues, ideal for holding conferences, meetings or social events and the hotel provides quality accommodation for those attending the complex or simply visiting the city. Tel: 0131-527-3434 e-mail: [email protected]
programme – oral cancer, career considerations & child protection Diagnosis & Understanding Causes of Oral Cancer and Our Role in Prevention
Professor G R Ogden Unit of Oral Surgery & Medicine Dundee Dental School & Hospital
Surgical Treatment
Mr J Devine, Consultant Southern General Hospital, Glasgow
Adjunctive & Supportive Treatment
Mrs F Haston, Clinical Nurse Specialist Western General Hospital, Edinburgh
Dental Rehabilitation
Mr P Stone, Implant/Oral Surgeon Perth Royal Infirmary
New Opportunities for Dental Care Professionals
Mr H B Mathewson General Dental Council
Profit & Loss
Dougal Powrie Chartered Accountant
The Role of the Dental Team in Child Protection
Dr A Cairns, Clinical Lecturer Glasgow Dental Hospital
*(pp from the same Practice or Institution)
Approved for 4 CPD Units
FOR FURTHER INFORMATION PLEASE CONTACT: The Faculty of Dental Surgery, 10 Hill Square, Edinburgh eh8 9dw 0131 5271608 or [email protected]
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