Penetrating Esophageal Injuries: Multicenter Study of the American Association for the Surgery of Trauma

Asensio, JA; Chahwan, Santiago; Forno, Walter; Mackersie, Robert C.; Wall, Matthew J.; Lake, J; Minard, Gayle; Kirton, Orlando C.; Nagy, Kimberly; Karmy‐Jones, Riyad; Brundage, Susan I.; Hoyt, David B.; Winchell, Robert J.; Kralovich, Kurt A.; Shapiro, Marc J.; Falcone, Robert E.; McGuire, Emmett; Ivatury, Rao R.; Stoner, Michael C.; Yelon, Jay A.; Ledgerwood, Anna M.; Luchette, Fred A.; Schwab, Christoph; Frankel, Heidi L.; Chang, Brian L.; Coscia, Robert; Maull, Kimball I.; Wang, D; Hirsch, Erwin F.; J, Cue; Schmacht, Dale C.; Dunn, Edward J.; Miller, Frank B.; Powell, Melissa A.; Sherck, John P.; Enderson, Blaine L.; L, Rue; Warren, Richard; J, Rodriquez; West, Michael O.; Weireter, Leonard J.; Ld, Britt; Dries, David J.; Dunham, C. Michael; Malangoni, Mark A.; Fallon, William F.; Simón, Ronald; Bell, Richard M.; Hanpeter, David; Gambaro, Esteban; Ceballos, José Luis Pérez; Torcal, J; Alo, Kathy; Ramicone, Emily; Chan, Linda S.

doi:10.1097/00005373-200102000-00015

Cited by 189 publications

(201 citation statements)

References 26 publications

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“…A delay in the diagnosis and treatment may cause purulent mediastinitis, pleuritis, sepsis, and death. The most important criteria to survive esophageal perforation are early diagnosis and early and appropriate treatment (9). The pain occurring simultaneously with vomiting or just after vomiting is crucial for diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Esophagus Perforation: A Rare Case

Günaydın¹,

Çalık²,

Yıldız³

et al. 2015

EAJEM

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Boerhaave's syndrome (spontaneous esophageal rupture) is a rare entity, which is characterized by a rare and late diagnosis. It is a life-threatening condition and requires early diagnosis and urgent care. The most common etiological factor is emesis. A history of forceful emesis, subxiphoid chest pain, and subcutaneous emphysema is a common triad of symptoms that should suggest spontaneous rupture of the esophagus. However, sometimes confused other diseases that chest pain such as myocardial infarction, aortic aneurysm, pulmonary embolism, pneumothorax. In this report, we aim to present a patient who was diagnosed with the Boerhaave's syndrome. In addition, we will also review the usual presenting signs, symptoms, and treatment of the Boerhaave's syndrome. (Eurasian J Emerg Med 2015; 14: 157-9)

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Section: Discussionmentioning

confidence: 99%

Spontaneous Esophagus Perforation: A Rare Case

Günaydın¹,

Çalık²,

Yıldız³

et al. 2015

EAJEM

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“…Cervical esophageal perforation regardless of the cause remains a challenging clinical problem that is associated with a significantly morbidity and mortality and also with a costly hospital stays [6,13].…”

Section: Discussionmentioning

confidence: 99%

Cervical Esophageal Perforation: A 10-Year Clinical Experience in North of Iran

Aghajanzadeh

Porkar

Ebrahimi

2014

Indian J Otolaryngol Head Neck Surg

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Perforations of the cervical esophagus are infrequent severe conditions associated with a high rate of morbidity and mortality if misdiagnosed. The diagnosis and management of cervical esophageal perforation remains a challenging clinical problem. We aimed to present our experience of the etiology, presentation, management and outcome of cervical esophageal perforation in a 10 years period. In this cross-sectional study, we reviewed the records of all patients with a diagnosis of cervical esophageal perforation admitted at the teaching Razi Hospital of Rasht, north of Iran, between 2001 and 2011. 26 patients (15 male) were studied with mean age of 47.6 ± 13.78 years, a range from 10 to 68 years. Only 16 (61.5 %) of patients were referred within 24 h of injury. The etiology was iatrogenic in 15 cases (57.69 %), foreign body ingestion in 7 cases (26.9 %), and penetrating traumatic injury in 4 cases (15.4 %). The common clinical manifestations of perforation were neck pain in 22 cases (84.6 %), fever in 19 cases (73.1 %), and subcutaneous emphysema in 12 cases (46.2 %). Barium and gastrografin swallow were performed in 57.7 and 23.1 % of patients, respectively and flexible esophagoscopy was used in 23.06 %. Most of patients (65.4 %) were managed by primary repair. Overall, mortality rate was 7.7 %. Our study demonstrates that the most common cause of cervical esophageal perforation is iatrogenic injury. Clinical suspicion is most important problem. Furthermore, Diagnosis is mainly made by Barium and gastrografin swallow. For a successful outcome, primary repair is a preferred treatment for most perforation patients.

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“…Penetran yaralanmalar: Ateşli silah, delici kesici alet yaralanmaları, yabancı cisim erozyonu ve iyatrojenik perforasyonların bir kısmı bu grup altında değer-lendirilebilir. Travmatik özofagus perforasyonları en sık ateşli silah ve delici-kesici alet ile yaralanma sonucu oluşup %20-25 mortaliteye sahiptir (1,7,10,20,21).…”

Section: İntraluminal Yaralanmalar 1 Enstrümental Yaralanmalarunclassified

“…Özofagusun penetran yaralanmaları en sık boyunda (%56.5) olup, torasik (%30) ve abdominal (%17) yaralanmalar daha az görülür (21). Servikal özofagusta penetran yaralanma oranının daha yüksek olmasının nedeni bu bölgedeki özofagus segmentinin korumasız olmasıdır.…”

Section: İntraluminal Yaralanmalar 1 Enstrümental Yaralanmalarunclassified