Abstract

POMI, Jorge; RAPPA, Julio; RODRIGUEZ GONI, Pablo  and  BRANDOLINO, Mario. Traumatismos y perforaciones de esófago: diez años de experiencia. Rev. Méd. Urug. [online]. 2005, vol.21, n.4, pp.308-313. ISSN 1688-0390.

Summary Introduction: esophageal injuries have high mortality and a controversial treatment. Diagnosis and treatment of esophageal injuries are under discussion because they are not frequent. The purpose of this paper is to show results and treatment from our series. Methods: Twenty patients with perforated esophagus were retrospectively analyzed, excluding tracheo-esophageal fistula, neonatal spontaneous perforations and suture fails. We studied mortality related to clinical presentation, progression time and treatment. Results: The most frequent causes of the series were the instrumental (35%) and the spontaneous injuries (30%). Chest pain, pleural spilling and temperature were the most constant symptoms. Primary suture, with or without stress was the most used therapeutic procedure. Overall mortality was 40%. Conclusions: Treatment must be adequate to each patient and situation, medical treatment should be performed in selected cases. Clinical presentation has an important prognostic value.

Keywords : ESOFAGOPATÍAS; PERFORACIÓN DEL ESÓFAGO; ROTURA ESPONTÁNEA.

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