Clinical Analysis and Treatment of Esophageal Perforation / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 111-116, 2006.
Article
em Ko
| WPRIM
| ID: wpr-150263
Biblioteca responsável:
WPRO
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 AND METHOD: 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.
Palavras-chave
Texto completo:
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Índice:
WPRIM
Assunto principal:
Ruptura Espontânea
/
Drenagem
/
Taxa de Sobrevida
/
Estudos Retrospectivos
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Fatores de Risco
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Mortalidade
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Perfuração Esofágica
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Esôfago
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Ácido Gástrico
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Mediastinite
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2006
Tipo de documento:
Article