Esophageal rupture caused by intestinal preparation: report of one case and literature review / 中国基层医药

ABSTRACT

Objective:To summarize the clinical characteristics, diagnosis and treatment of esophageal rupture caused by intestinal preparation, in order to improve the understanding of this disease.Methods:We combined with the clinical data of one patient with esophageal rupture caused by intestinal preparation admitted to Yijishan Hospital of Wannan Medical College in January 2020, and reviewed the relevant literature reports from 2009 to 2019 in CNKI database with esophageal rupture as the key word.Results:The patient suffered from esophageal rupture due to severe vomiting after magnesium sulfate enema preparing for endoscopic submucosal dissection.The patient was cured by endoscopic titanium clip therapy and closed thoracic drainage.A total of 89 articles involving 929 cases of esophageal rupture were retrieved, and it was found that males were more than females, the incidence of spontaneous>foreignness>traumatic>iatrogenic, the number of surgical cases(736 cases) was more than that of non-surgical cases(193 cases), the cure rate(86.65%) was higher than the death rate(13.35%).Conclusion:Esophageal rupture is one of the clinical emergencies with atypical clinical symptoms.Only detailed medical history inquiry and timely, effective imaging examination can make early diagnosis and early treatment, so as to reduce the fatality rate of the disease and improve the prognosis of patients with the disease.