Clinical Analysis and Treatment of Esophageal Perforation / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 111-116, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-150263
ABSTRACT
BACKGROUND:
Perforation of the esophagus is a deadly injury that requires expert management for survival. The mediastinal contamination with microorganisms, gastric acid, and digestive enzymes results in a mediastinitis that is often fatal if untreated. MATERIAL ANDMETHOD:
Between January 1990 and June 2004, 38 patients with esophageal perforation were treated in our hospital. Retrospective review of these cases has been performed.RESULT:
There were 28 males and 10 females. The mean age was 43.84+/-18.89 years (range 1~73 years). Spontaneous rupture was found in 34% of perforations, iatrogenic perforation in 32% and traumatic perforation in 34%. Perforation occurred in the cervical esophagus in 8 cases, thoracic esophagus in 29 and abdominal esophagus in 1. In the cervical esophageal perforation, managements were primary closure in 8 and drainage in 2. In the thoracic esophageal perforation, managements were primary closure in 14, resection in 3 and conservative management in 12. The mortality rate was 25% in cervical esophageal perforation and 34.5% in thoracic esophageal perforation. We revealed risk factor of esophageal perforation to be peropertaive septic condition (p=0.005).CONCLUSION:
Most important risk factor of esophageal perforation was preoperative septic condition. Preoperative prompt and aggressive preoperative treatment may improve the survival rate of esophageal perforation.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rupture spontanée
/
Drainage
/
Taux de survie
/
Études rétrospectives
/
Facteurs de risque
/
Mortalité
/
Perforation de l'oesophage
/
Oesophage
/
Acide gastrique
/
Médiastinite
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2006
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS