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Pharyngeal and oesophageal injuries

Romaldas Rubikas1

  • 1Thoracic Surgery Clinic of Kaunas Medical University Hospital (Kauno Medicinos Universiteto Torakalinës chirurgijos klinika), Eiveniu 2, Kaunas 3007, Lithuania. romaldasr@email.lt

Injury
|March 24, 2004
PubMed

Insights

Transmural pharyngeal and esophageal injuries (POI) occur in two-thirds of cases. Urgent surgical intervention is crucial for complicated POI, influencing outcomes and reducing hospital stays.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Trauma Surgery

Background:

  • Pharyngeal and esophageal injuries (POI) represent a significant clinical challenge.
  • Understanding the incidence, causes, and complications of transmural POI is critical for effective management.
  • Timely diagnosis and intervention are key factors in patient outcomes.

Purpose of the Study:

  • To determine the incidence of transmural pharyngeal and esophageal injuries (POI).
  • To identify causes and characteristics of infectious complications following transmural POI.
  • To evaluate surgical interventions for complicated transmural POI.

Main Methods:

  • Retrospective analysis of 84 cases of POI over 15 years (1987-2001).
  • Inclusion criteria: neck/chest injuries, foreign bodies, tracheal intubation, iatrogenic causes (endoscopy, dilation).
  • Analysis of injury type, diagnosis time, treatment, and outcomes.

Main Results:

  • Transmural POI occurred in 58 cases (69%), superficial in 26 (31%).
  • 38 of 58 transmural POI patients diagnosed within 24 hours.
  • Primary repair resulted in shorter hospital stays (22.4 days) vs. drainage alone (31.7 days).
  • Overall post-operative morbidity: 42.8%; mortality: 19.0%.

Conclusions:

  • Transmural POI constitute approximately two-thirds of all POI.
  • Injury pathology, location, diagnostic delay, and surgical timing significantly impact complication development.
  • Urgent surgical intervention is a cornerstone in managing complicated transmural POI.
Abstract

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