Clinical Analysis and Management of Esophageal Perforation / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 668-671, 2016.
Artigo
em Coreano
| WPRIM
| ID: wpr-655351
ABSTRACT
BACKGROUND AND OBJECTIVES:
Esophageal perforation is relatively uncommon and requires careful diagnostic evaluation and expert management. It has a high mortality due to significant mediastinal and pleural contamination leading to sepsis and multiple organ failure. We reviewed our experience of esophageal perforation to determine how to better recognize such a lesion and facilitate its correct management. SUBJECTS ANDMETHOD:
A retrospective chart review was performed on all patients treated for esophageal perforation from January 2000 to March 2016. These patients have been studied with respect to gender and age distribution, causes, sites, clinical manifestation, complications, management and postoperative complications.RESULTS:
Patients ranged in age from 21 to 87 years, with an average age of 57.6±12.4 years. Fifty of the patients were men and 21 were women. The causes of the perforations were as follows foreign body retention (18 patients), trauma (17 patients), Boerhaave's syndrome (22 patients), and iatrogenic (14 patients). The sites of esophageal perforation were the cervical esophagus (25 patients), thoracic esophagus (44 patients) and abdominal esophagus (2 patients). Primary repair only was performed in seven (9.9%) patients, whereas 32 (45%) patients were treated with primary repair & patch, seven (9.9%) patients with T-tube drainage. Exclusion & division were performed in three (4.2%) patients and esophagectomy was performed in two (2.8%) patients. Twenty (28.2%) patients were treated conservatively.CONCLUSION:
Early recognition and appropriate management of esophageal perforation are essential for reduction of morbidity and mortality.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Drenagem
/
Estudos Retrospectivos
/
Mortalidade
/
Esofagectomia
/
Distribuição por Idade
/
Sepse
/
Perfuração Esofágica
/
Esôfago
/
Corpos Estranhos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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