Diagnosis of penetrating cervical esophageal injuries

Weigelt, John A.; Thal, Erwin R.; Snyder, William H.; Fry, Richard E.; Meier, Donald E.; Kilman, William J.

doi:10.1016/0002-9610(87)90228-5

Cited by 94 publications

(39 citation statements)

References 14 publications

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“…The contrast radiology of the upper gastrointestinal series did not show contrast runoff occurrences, in any of the specimens investigated, or any type of lesion that was visible even after the conduction of subsequent necropsy 14 .…”

Section: Discussionmentioning

confidence: 73%

“…The aim of contras radiology is the generation of radiological findings that may demonstrate changes as stenosis, fistulas, pervisouness of anasotmoses, and diverticula 14 . Some authors report the deformities of the esophagus after contrast investigation in Barret's esophagus, which may assist in the screening of patients with gastro-esophageal reflux symptoms 5,7,8,13 .…”

Section: Discussionmentioning

confidence: 99%

“…In the post-operative procedures of stomach and esophagus surgeries, it is possible to search for secondary deformities that appear after the surgical procedures, exactly when the trauma will not be surgical the esophagography may have sensitivity varying of 50-90% of the times [13][14][15][16] .…”

Section: Discussionmentioning

confidence: 99%

“…This normality model is fundamental for the comparison of post-surgical studies of the esophagus, stomach and duodenum of rodents, in future research 11,[13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

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Description of the technique of upper gastrointestinal series radiological examination for the evaluation of the esophagus, stomach and duodenum of Wistar female rats

et al. 2009

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Purpose:To evaluate the anatomy of female Wistar rats and the workability of contrast radiography as a technique to investigate the gastrointestinal series. Methods: Eight adult female Wistar rats were undergone to the contrast radiography as anteroposterior incidence and as posterior incidence in profile. The radiological examination was conducted at a 45° angle to the radiological table. Film-focus distance (FFD) was 100 cm, film-object distance (FOD) was 0 cm, and object-focus distance (OFD) was 100 cm. An orogastric probe was used to inject barium contrast at 5-min intervals, for a total of four applications. After the radiological examination, animals were necropsy for confirmation of the radiological findings, and the radiographs were the absence of the normal anatomy variations inspected and described by an experienced radiologist. Results: All the radiographs produced achieved satisfactory results in terms of position, exposure, location and quality. The upper esophageal sphincter (UES) was identified in the esophagus at the nerve C2, the lower esophageal sphincter (LES) was identified between spinal cord segments L1 and L2, the thoracic-abdominal junction was observed at T10, the esophageal-gastric junction (EGJ) at T13-L1, with the abdominal portion in the epigastric region. The stomach was observed mostly in the epigastric region, left hypochondrium, left and mesogastric flank. The duodenum findings presented higher variation, with most findings identified in the epigastric region, right hypochondrium, right flank and mesogastric ileal fossa at T13-L5. Conclusion: Contrast radiology is useful and may be employed to assess the anatomy of the animal being studied. The experimental model described afforded to fully identify all organs investigated, as well as other occasional relevant findings. No anatomical anomalies in the subsequent necropsy, confirming the radiographic findings. Key words: X-Rays. Esophagus. Stomach. Duodenum. Rats. RESUMOObjetivo: Avaliar a anatomia normal de ratas Wistar e a viabilidade do exame contrastado nesta população. Métodos: Foram submetidas ao exame oito ratas Wistar adultas, em incidência Ântero-Posterior e Perfil. A técnica consiste no posicionamento à 45º de inclinação em relação à mesa radiológica e colocado à Distância Foco Filme (DFF) de 100 cm, Distância Objeto Filme (DOF) de 0 cm, Distância Foco Objeto (DFO) de 100 cm. O contraste baritado foi injetado via sonda nasoesofágica, em intervalos de 5 minutos para cada fase, em um total de quatro fases. Após a realização do exame foi realizada necropsia dos animais para confirmação dos achados radiológicos e da ausência de variações da anatomia normal As radiografias foram analisadas e descritas por radiologista experiente no exame. Resultados: Todos os exames foram satisfatórios no que se refere ao posicionamento, exposição, localização e qualidade do exame. Foi identificado o esôfago com o Esfíncter Esofágico Superior (EES) ao nível de segunda vértebra cervical (C2) e Esfíncter Esofágico Inferior (EEI) entre a...

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This normality model is fundamental for the comparison of post-surgical studies of the esophagus, stomach and duodenum of rodents, in future research 11,[13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

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Description of the technique of upper gastrointestinal series radiological examination for the evaluation of the esophagus, stomach and duodenum of Wistar female rats

et al. 2009

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“…Several authors, induding Borwiecki et ai, 7 Goudarzi et ai, 8 Gulbrandson et al, 9 Spenler and Benfield, Penetrating injuries of the cervical oeso- phagus are relatively more common than the other types of injuries; however, not all penetrating injuries cause a spinal injury or fracture. [20][21][22] The above authors emphasize the serious ness of the oesophageal injury, the life threatening complications, and the difficul ties of diagnosis and management. Most authors also report that the available diag nostic techniques are not always helpful.…”

Section: Discussionmentioning

confidence: 99%

Oesophageal trauma in patients with spinal cord injury

et al. 1992

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Oesophageal perforations associated with cervical fractures occur from a variety of injuries. Fractures of the cervical spine, blunt trauma and penetrating injuries such as gunshot wounds, knives and missiles, perforate the cervical oesophagus. This retrospective study consists of 24 patients with an oesophageal perforation and cervical fracture. Motor vehicle accidents were responsible for 54% of the oesophageal perforations. The other oesophageal injuries were related to ante rior spine surgery, gunshot wounds and sports-related activities. The clinical features related to these injuries included the obvious signs of an oesophageal perforation as well as fever of unknown origin, leukocytosis and unexplained persistent tachycardia. A variety of techniques was used to establish the diagnosis. All the patients had treatment for the cervical fracture and 20 patients required surgical repair of the oesophagus. The most common oesophageal complications were stricture of the oesophagus (54%) and oesophageal diver ticulum (10%). The other complications were atelectasis, pneumonia, tracheo bronchitis, pulmonary embolism, cervical osteomyelitis, cervical abscess, medias tinitis, septicemia and cervical fistulae. These patients have a serious life threatening illness that may be difficult to diagnose and treat.

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