Related Experiment Videos
[Iatrogenic esophageal perforation]
A Krzeski1, J Zawadowski, K Niemczyk
1Katedry i Kliniki Otolaryngołogii Ak. Med., Warszawie.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 1, 1995
Summary
This study analyzed 213 patients with esophageal foreign bodies, finding that most instrumental perforations require surgical intervention. Surgical drainage and closure of cervical perforations offer good outcomes.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
- Trauma Surgery
Background:
- Esophageal foreign bodies are a common clinical issue.
- Iatrogenic esophageal perforations can occur during diagnostic or therapeutic procedures.
Purpose of the Study:
- To evaluate the management and outcomes of patients with esophageal foreign bodies and iatrogenic perforations.
- To determine the optimal treatment strategy for instrumental esophageal perforations.
Main Methods:
- Retrospective analysis of 213 patients treated for esophageal foreign bodies between 1980-1990.
- All patients underwent esophagoscopy under general anesthesia.
- Documentation of iatrogenic perforations and their management.
Main Results:
- Most foreign bodies were located in the cervical esophagus.
- Ten cases (4.7%) of iatrogenic esophageal perforation were identified.
- Surgical management (drainage and closure) of cervical perforations yielded good results.
Conclusions:
- Instrumental esophageal perforations generally necessitate surgical intervention.
- Surgical management is effective for cervical esophageal perforations.
- Nonoperative approaches may be considered for select patients with contained perforations and minimal symptoms.