Surgical treatment of traumatic intrathoracic esophageal perforations by foreign bone / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 363-365, 2010.
Article
in Chinese
| WPRIM
| ID: wpr-266340
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the staging criteria and surgical treatment strategy of traumatic intrathoracic esophageal perforations by foreign bone.</p><p><b>METHODS</b>Fifty-seven patients with intrathoracic esophageal perforations caused by foreign bone in our department from January 1980 to June 2006 were studied. Patients were divided into 4 grades grade I was esophageal perforation without mediastinitis (n=17), grade II was esophageal perforation with severe mediastinitis (n=13), grade III was esophageal perforation with severe empyema (n=21), grade IV was esophageal perforation with tracheal or aorto-esophageal fistula (n=6). Based on the stage of esophageal perforation, operative procedures were selected including esophagotomy, esophageal repair, esophagectomy, mediastinal drainage, and esophagus reconstruction with colon.</p><p><b>RESULTS</b>In grade I, II and III, all but one patient experienced satisfactory healing of the esophagus. One patient died of multi-organ failure from septic complication. No leakage was observed. Normal swallowing function and improved weight gain was achieved in all the patients. There were 2 deaths in grade IV (2/6).</p><p><b>CONCLUSIONS</b>Grading of esophageal perforation caused by foreign bone is helpful to the decision of surgical treatment strategy.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
General Surgery
/
Classification
/
Esophageal Perforation
/
Esophagus
/
Foreign Bodies
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
Chinese
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2010
Type:
Article
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