Traumatic oesophageal perforation

dc.contributor.authorInci, I
dc.contributor.authorOzcelik, C
dc.contributor.authorNizam, O
dc.contributor.authorBalci, AE
dc.contributor.authorEren, N
dc.contributor.authorOzgen, G
dc.date.accessioned2024-04-24T17:39:59Z
dc.date.available2024-04-24T17:39:59Z
dc.date.issued1997
dc.departmentDicle Üniversitesien_US
dc.description.abstractSixteen patients were treated for traumatic oesophageal perforation (13 cervical, 3 thoracic) over a 16-year period. In 14 cases the trauma was penetrating. The median delay from injury to treatment was 32 hours and the mean period of hospitalization was 26 days. The treatment procedures were two-layer primary closure with or without drainage, drainage alone and near-total oesophageal exclusion with cervical T-tube oesophagostomy. Postoperative complications were cervical oesophageal leak in two patients and tracheo-oesophageal fistula and oesophageal stenosis, each in one case. Of the eight patients treated within 24 hours of perforation, two died, and of the eight treated later, four died (overall mortality 37.5%). The heightened mortality after delayed diagnosis illustrates the prognostic importance of a high index of suspicion. To prevent leakage, buttressing with viable tissue following primary closure can be useful, especially after delayed diagnosis. Because of the continuing controversy concerning management of late-diagnosed oesophageal perforation, individualized treatment is widely advocated.en_US
dc.identifier.endpage100en_US
dc.identifier.issn1401-7431
dc.identifier.issue2en_US
dc.identifier.pmid9211597
dc.identifier.scopus2-s2.0-0030693206
dc.identifier.scopusqualityQ2
dc.identifier.startpage97en_US
dc.identifier.urihttps://hdl.handle.net/11468/21496
dc.identifier.volume31en_US
dc.identifier.wosWOS:A1997XE26400005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherScandinavian University Pressen_US
dc.relation.ispartofScandinavian Cardiovascular Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOesophageal Perforationen_US
dc.subjectTraumaen_US
dc.titleTraumatic oesophageal perforationen_US
dc.titleTraumatic oesophageal perforation
dc.typeArticleen_US

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