Combined Tracheal and Esophageal Trauma From Gunshot Wounds

Ds, Weiman; Walker, W. Allan; Km, Brosnan; Jw, Pate; Tc, Fabian

doi:10.1097/00007611-199602000-00010

Cited by 13 publications

(3 citation statements)

References 0 publications

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“…Overall mortality for ET was higher than that reported by previous studies (MR 6–26 % [1–5]), but this finding may be explained by a number of reasons, including the very high incidence of blunt trauma compared with other studies [2]. Moreover, the vast majority of patients in the present series (both ET and GT) had multiple injuries and were more severely injured than those in other studies [2, 17]. The 2005 annual report of the American College of Surgeons National Trauma Data Bank documented that only 265 of 917 (20 %) trauma patients had an ISS >15 [13] compared with 83 % of ET patients and 50 % of GT patients in the present study.…”

Section: Discussioncontrasting

confidence: 67%

“…Moreover, the vast majority of patients in the present series (both ET and GT) had multiple injuries and were more severely injured than those in other studies [2,17]. The 2005 annual report of the American College of Surgeons National Trauma Data Bank documented that only 265 of 917 (20 %) trauma patients had an ISS [15 [13] compared with 83 % of ET patients and 50 % of GT patients in the present study.…”

Section: Discussionmentioning

confidence: 44%

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Esophagogastric Trauma in Scotland

Skipworth

McBride

Kerssens³

et al. 2012

World j. surg.

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Esophagogastric trauma occurs predominantly in young males. The incidence of GT, although low, is five times that of ET. Predominant mechanisms of GT are penetrating compared with blunt for ET. Both ET and GT are commonly found in the presence of other multiple injuries, and are associated with high mortality. Operative management of GT is associated with reduced mortality, but outcome is worse for patients with hemodynamic compromise, low GCS, and high ISS.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 44%

Esophagogastric Trauma in Scotland

Skipworth

McBride

Kerssens³

et al. 2012

World j. surg.

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“…Kombinierte Verletzungen von Trachea und Ösophagus sollten primär rekonstruiert werden, gefolgt von einem aggressiven Monitoring für Komplikationen. Dabei muss vor allem auf das Auftreten tracheoösophagealer Fisteln geachtet werden [36,39]. Bei allen Patienten mit traumatischen Verletzungen der großen Atemwege sollte perioperativ eine Breitspektrum-Antibiotikatherapie angewendet werden [40].…”

Section: Definitive Therapieunclassified

Verletzungen des Tracheobronchialbaums

Welter

Hoffmann

2013

Zentralbl Chir

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Einleitung !Verletzungen der Trachea und der Hauptbronchien sind selten, aber meist lebensbedrohlich. Sie sind so selten, dass auch in großen Zentren in Deutschland in der Regel weniger als 5 Patienten pro Jahr gesehen werden [1][2][3][4] Abstract ! Tracheobronchial injuries are rare events but often life-threatening. A great expertise in the field of thoracic surgery is necessary to manage these events. The aetiology of the injury -traumatic or iatrogenic -allows immediate considerations about the pattern of damage. The flexible or rigid bronchoscopy is the central diagnostic procedure to classify the injury. Whereas iatrogenic tracheal lacerations can be treated by conservative or operative means depending on severity, traumatic injuries of the tracheo-bronchial system need technically challenging operative reconstructions in almost every case.

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