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[Esophageal injuries]

J Manhal1, R Sequens, J Bouda

  • 1Chirurgická klinika lékarské fakulty Univerzity Karlovy, Plzen.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|April 1, 1993
PubMed
Summary
This summary is machine-generated.

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Iatrogenic esophageal injuries, often from endoscopy, are common and lead to significant mortality. Prompt treatment and managing complications like mediastinitis are crucial for survival.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Context:

  • Analysis of 33 esophageal injuries treated between 1976-1991.
  • Predominance of iatrogenic injuries (24 cases) over traumatic or spontaneous ones.

Purpose:

  • To analyze the causes, influencing factors, and outcomes of esophageal injuries.
  • To identify key determinants of morbidity and mortality in esophageal injury patients.

Summary:

  • Iatrogenic esophageal injuries were most frequent, often resulting from endoscopic procedures (oesophagoscopy, foreign body extraction).
  • Other causes included hiatus hernia surgery, sclerotherapy, nasogastric tube insertion, and traumatic/spontaneous perforations.
  • Overall mortality was 27.3%, with factors like injury site, treatment delay, and patient age influencing outcomes.

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Impact:

  • Highlights the risks associated with endoscopic interventions and surgical procedures.
  • Emphasizes the critical role of timely treatment and management of complications such as mediastinitis and empyema in reducing mortality.