Hernández OJR, Leonher RKL, Ramírez GLR, Jiménez GJA, Moran GRE, Huerta OLD

Language: Spanish
References: 16
Page: 26-31
PDF size: 222.34 Kb.

ABSTRACT

Introduction: Esophageal perforation although rare in its presentation, is a surgical emergency unwieldy and the results are devastating if diagnosis and treatment are delayed. Early recognition of signs and symptoms, antibiotics and intensive care caused the mortality associated with esophageal perforation decreased. There is no consensus on the best management option, which is the best treatment for each case, where it can be placement of an endoprosthesis to esophagectomy.
Material and methods: The objective of this study is to describe the differences in management and clinical outcomes of patients with esophageal perforation of any etiology treated at the Western National Medical Center Specialties IMSS Hospital in the period from 2000 to 2012. An observational, descriptive, cross-sectional and retrospective study was conducted, collecting medical records of patients diagnosed with esophageal perforation.
Results: They were found 42 patients with a mean age of 44.76 years. The most common etiology of perforation was surgical in 20 patients and the most common symptom was pain followed by dyspnea. Surgical treatment was used in all patients more frequently esophagectomy.
Conclusion: Esophageal perforation is a difficult disease to diagnose, time and adequate diagnosis and treatment has been shown to improve survival. However, a high index of suspicion and knowledge of this pathology is necessary.

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