Korean J Thorac Cardiovasc Surg.
2010 Dec;43(6):705-709.
Treatment of Esophageal Injury
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, School of Medicine, Gyeongsang National University, Institute of Health Science, Gyeongsang National University, Korea. isjang@gnu.ac.kr
Abstract
- BACKGROUND
Esophageal injury requires early and proper management. We want to determine the results of various esophageal injuries. MATERIAL AND METHOD: We respectively analyzed 22 patients who were managed for esophageal injury between 1999 and 2009. Based on the medical records, we reviewed the causes of injury, the diagnoses, the treatment methods, the complications and the prognosis. RESULT: The main causes of esophageal injury were a foreign body in 9 cases (41%) and vomiting in 5 cases (23%). We treated the patients with esophageal primary repair in 12 cases (55%), abscess drainage in 4 cases (18%) and conservative management in 6 cases (27%). There was esophageal leakage in 7 cases (32%) and death occurred in 3 cases (14%).
CONCLUSION
For minor esophageal injury, conservative management was sometimes possible to treat the esophagus, yet aggressive and urgent surgical treatment should be applied for cases of major esophageal injury, including mediastinal abscess.
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