2008
DOI: 10.1590/s0100-69912008000500004
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Abstract: Em seis pacientes (54,5%), a perfuração era no esôfago cervical, quatro (36,4%) no torácico e um (9,1%) no abdominal. A etiologia da lesão foi corpo estranho em cinco casos, arma branca em dois e os outros foram por arma de fogo, dilatação endoscópica, ingestão de substância cáustica e trauma contuso. Diagnóstico e tratamento nas primeiras 24 horas ocorreu em três (27,3%) pacientes e após 24 horas em oito casos (72,7%). O tratamento conservador foi instituído para dois (18,2%), que evoluíram bem e o cirúrgico … Show more

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Cited by 2 publications
(3 citation statements)
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“…Diagnostic done, the treatment is: infection control, nutrition maintenance and injured digestive tract repair with reinforcement suture. However, the procedure for treatment in cases with longer days is removal of the foreign body, no injury suturing, antibiotic therapy and enteral nutrition, similar to this report 2 .…”
Section: Discussionsupporting
confidence: 69%
“…Diagnostic done, the treatment is: infection control, nutrition maintenance and injured digestive tract repair with reinforcement suture. However, the procedure for treatment in cases with longer days is removal of the foreign body, no injury suturing, antibiotic therapy and enteral nutrition, similar to this report 2 .…”
Section: Discussionsupporting
confidence: 69%
“…The esophageal perforation at the thoracic portion was the most frequent location found throughout the case series included in this study and actually it has the most controversial conduct 16 with a high rate of morbidity and mortality, especially due to the easy contamination of the mediastinum and the pleural cavity 17 .…”
Section: Discussionmentioning
confidence: 81%
“…In cases that include any other esophageal pathology in which surgery has already been recommended in the absence of perforation such as locally advanced esophageal cancer, achalasia or non-dilatable strictures, surgery should be performed immediately after the instrumental perforation 17 .…”
mentioning
confidence: 99%