Management of instrumental perforations of the esophagus occurring during treatment of corrosive strictures

Basit Öğe Kaydı
dc.contributor.authorAvanoglu, A
dc.contributor.authorErgun, O
dc.contributor.authorMutaf, O
dc.date.accessioned2019-10-27T11:51:42Z
dc.date.available2019-10-27T11:51:42Z
dc.date.issued1998
dc.departmentEge Üniversitesien_US
dc.description1st World Conference on the Prevention and the Treatment of Caustic Esophageal Burns in Children -- APR 03-05, 1996 -- IZMIR, TURKEYen_US
dc.description.abstractBackground: The initial symptoms of esophageal perforations (EP) may be subtle, but the progression is very rapid, and the outcome may be disastrous unless the diagnosis is made early and proper treatment is started immediately. Methods: Between 1976 and 1996, 1,249 patients with caustic esophageal burns were treated at Ege University. The study group is composed of 52 patients with instrumental EP. Perforations occured during dilatation attempts of esophageal strictures, Twelve patients were referred from other institutions after the occurrence of EP. Results: In two patients, emergency surgical repair of the perforation was possible. Seventeen patients with unilateral and two patients with bilateral empyema were treated by pleural drainages. Anterior retrosternal mediastinal drainage was needed in one patient, and 11 patients required posterior mediastinal drainages. Three patients were treated by both anterior and posterior mediastinal drainage. Tracheoesophageal fistulas (TEF) developed in eight patients immediately after a dilatation attempt. Seven of these patients required esophageal replacement with colon to bypass the fistulas, and one patient in this group healed spontaneously. EP healed in 42.5 +/- 49.4 days. Twelve (23%) patients died of mediastinitis and sepsis. Conclusion: When EP is diagnosed and treated with these methods, the mortality rate should approach zero. Copyright (C) 1998 by W.B. Saunders Company.en_US
dc.identifier.doi10.1016/S0022-3468(98)90015-Xen_US
dc.identifier.endpage1395en_US
dc.identifier.issn0022-3468
dc.identifier.issue9en_US
dc.identifier.pmid9766361en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1393en_US
dc.identifier.urihttps://doi.org/10.1016/S0022-3468(98)90015-X
dc.identifier.urihttps://hdl.handle.net/11454/34616
dc.identifier.volume33en_US
dc.identifier.wosWOS:000076059200016en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Coen_US
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectesophageal perforationsen_US
dc.subjectcausticen_US
dc.titleManagement of instrumental perforations of the esophagus occurring during treatment of corrosive stricturesen_US
dc.typeArticleen_US

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