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ISSN 2007-6517 (Print)

2014, Number 2

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Rev Latinoam Cir 2014; 4 (2)

Esophageal perforation, a Diagnosis and Treatment Challenge for the Surgeon

González IJJ, Hernández ATJ, Pérez NJV, Anaya PR

Language: Spanish
References: 24
Page: 91-94
PDF size: 197.27 Kb.


ABSTRACT

Esophageal perforation (EP) is a well-characterized and potentially fatal clinical situation, many factors lead to this situation of high morbidity and mortality from 4 to 80%. The most common cause of EP is iatrogenic as a result of endoscopic procedures, but may also occur as incident in surgery organs adjacent to the esophagus. Pain sharp and the sudden onset is the most common symptom and it is present in over 70% of patients with EP. Diagnosis should be made as soon as the EP is considered as an attempt possibility, based on signs and symptoms, as well as its history esophageal instrumentation, acute vomiting episode, ingestion of foreign bodies. The top management should initially focus on lesion control and secondarily on the problem that generated it. The treatment depending on the patient’s conditions and findings on imaging studies may be conservative or surgical. Conclusions. Due to the low incidence of esophageal perforation becomes almost impossible for a single surgeon has sufficient experience to a standardized management, which is why which remains a diagnostic challenge for the surgical for its wide variety of signs and symptoms at presentation, the cornerstone of treatment remains timely diagnosis to start shortly medical or surgical treatment required for the patient and improve prognosis of this disease.


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