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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
PubMed
Summary
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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:

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  • 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.