tailieunhanh - Báo cáo y học: "Factors affecting the outcome of surgically treated non-iatrogenic traumatic cervical esophageal perforation: 28 years experience at a single center"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Factors affecting the outcome of surgically treated non-iatrogenic traumatic cervical esophageal perforation: 28 years experience at a single center. | Onat et al. Journal of Cardiothoracic Surgery 2010 5 46 http content 5 1 46 JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Factors affecting the outcome of surgically treated non-iatrogenic traumatic cervical esophageal perforation 28 years experience at a single center Serdar Onat 1 Refik Ulku1 Kemal M Cigdem2 Alper Avci1 and Cemal Ozcelik3 Abstract Background We reviewed our experience with non-iatrogenic traumatic cervical esophageal perforations paying particular attention to factors affecting the outcome of such cases. Methods In total 30 patients treated surgically between 1980 and 2008 for non-iatrogenic traumatic cervical esophageal perforation in our clinic were reviewed. Results There were 25 male and 5 female patients with a median age of years. The type of injury was external trauma in 21 70 patients and endoluminal injury in the remaining 9 30 patients. The mechanism of injury was gunshot in 16 patients stabbing in 4 falling in 1 extraluminal injury and foreign body in 9 endoluminal injuries . The overall mortality rate was 5 30 . The mortality rate for extraluminal injuries was 19 and for endoluminal injuries was . Mortality in patients treated within 24 h of sustaining injury was substantially less than in those for whom diagnosis and treatment were delayed and respectively . The mortality rate was 3 9 for patients with tracheal injuries and 2 21 for those without tracheal injuries. Conclusions A treatment delay greater than 24 h the presence of tracheal injury or extraluminal perforation significantly affected the outcome of surgically treated non iatrogenic traumatic cervical esophageal perforation. Introduction Perforation of the esophagus is a life-threatening condition. This is because the esophagus lacks a serosa and is surrounded by a loose areolar connective tissue which is unable to prevent the spread of infection and inflammation 1 . Traumatic injuries to the .