1978
DOI: 10.1097/00005373-197806000-00022
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Surgical management of penetrating injuries of the esophagus

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Cited by 9 publications
(17 citation statements)
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“…Decompression can be expected to improve the neurological deficit, but the patient seldom makes a full recovery [4,10]. Traumatic esophageal perforation is associated with a high mortality rate (17-23%) [3,6,15]. External trauma is responsible for 10% of esophageal injuries; the majority of these are caused by penetrating injury.…”
Section: Discussionmentioning
confidence: 99%
“…Decompression can be expected to improve the neurological deficit, but the patient seldom makes a full recovery [4,10]. Traumatic esophageal perforation is associated with a high mortality rate (17-23%) [3,6,15]. External trauma is responsible for 10% of esophageal injuries; the majority of these are caused by penetrating injury.…”
Section: Discussionmentioning
confidence: 99%
“…7 In one of the largest single center series reported to date, there were only 77 TIE cases over a period of 22 yrs. 9 In another study of 77 patients with penetrating neck injuries presenting to a single hospital, only one patient was found to have perforation related to TIE. 10 Although there is a lack of evidence-based recommendations concerning management of TIE, some centers have developed clinical algorithms to guide decision-making surrounding surgical versus nonsurgical management.…”
Section: Introductionmentioning
confidence: 97%
“…Deaths due to undetected pneumothorax (6,9) can be prevented by preoperative chest X-rays, though the only death considered avoidable in this series occurred from a misplacement of an intercostal catheter in a patient with a large haemopneumothorax. Endoscopy and contrast swallow are less reliable (16,30) but they may detect injuries missed at emergency surgery. One of our patients had an unnecessarily wide exploration of the mediastinum to locate an old oesophageal injury which had not been previously outlined by water-soluble medium which we normally use.…”
Section: Neurologicalmentioning
confidence: 99%