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Colegio de Medicos y Cirujanos República de Costa Rica

2011, Number 596

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Rev Med Cos Cen 2011; 68 (596)

Perforación esofágica: Etiología, diagnóstico y manejo

Mayorga ZIK

Language: Spanish
References: 14
Page: 75-81
PDF size: 929.78 Kb.


ABSTRACT

The esophageal rupture is a rare disease and represents a challenge for clinicians, is presented in various forms, up to 50% of cases may be asymptomatic or atypical, this situation arises from the need to identify patients with risk factors for presentation, for example: patients with a recent endoscopic procedure or vomiting associated with significant symptoms. The morbidity and mortality is largely related to time of evolution, which requires to reach the diagnosis as soon as possible to reduce the disastrous consequences that entails. Also, the treatment you choose depends on the location of the injury, time of evolution and the accompanying pollution, the scheme is a proposed clinical approach to simplify the decision to take in such difficult cases.


REFERENCES

  1. Altorjay, Kiss J, Voros A, Bohak A. Nonoperative management of esophageal perforations. Is it justified? Ann Surg 1997; 225: 415-21.

  2. Alexis Lama T, Dagmar van Wijngaarden. Boerhaave: una mente brillante, un carácter virtuoso. Rev Méd Chile 2002; 130: 1067-1072

  3. Brunicardi, C. MD; Dana K. Andersen, MD; Schwartz, Principios de Cirugía, Esofago, 8ª Edicion, vol 1. Mc Graw-Hill, Madrid, 2005

  4. C. Ortiz Moyano, B. J. Gómez Rodríguez. Ruptura intramural esofágica: presentación clínica y evolución. Revista Española de Enfermedades Digestivas. v.98 n.4 Madrid abr. 2006

  5. Chong S. Park, MD; William R. Thompson, MD. Surgical Repair of Esophageal Perforation due to Pneumatic Dilatation for Achalasia. Arch Surg. 1993;128(5):540-544

  6. Fernando Guzmán Mora, MD, IGACS, Luis Gerardo Garcia-Herreros, MD. Ruptura del esófago. Guías para el manejo de Urgencias, Capítulo XXI, pág 240-245

  7. Gluck M, Jiranek G, Low D, Kozarek R. Spontaneous intramural rupture of the esophagus: clinical presentation and endoscopio findings. Gastrointest Endosc 2002; 56: 134-6.

  8. Hsu CC, Changchien CS. Endoscopic and radiological features of intramural esophageal dissection. Endoscopy 2001; 33: 379-81

  9. Italo Braghetto M, Alberto Rodríguez N et cols. Perforación esofágica: Experiencia clínica y actualización del tema. Revista Médica Chile 2005; 133: 1233-1241

  10. Kotsis L, Kostic S, Zubovits K. Multimodality treatment of esophageal disruptions. Chest 1997; 112: 1304-9.

  11. McDonald GB. Enfermedades esofágicas provocadas por infección, enfermedades sistémicas, fármacos y traumatismo: Enfermedades gastrointestinales: fisiología, diagnóstico y tratamiento. Buenos Aires: Editorial Médica Panamericana S.A., 1994; 436-63.

  12. Reeder LB, Defilippi VJ, Ferguson MK. Current results of therapy for esophageal perforation. Am J Surg 1995; 169: 615-7

  13. R. Lana Soto, J. L. Mendoza Hernandez. Rotura espontánea de esófago: un problema diagnóstico en la urgencia. Annales de Medicina Interna, Madrid, Vol. 20, N.º 2, pp. 88-90, 2003

  14. Salo Ja, et al. Management of delayed esophageal perforation with mediastinal sepsis; esophagectomy or primary repair? J Thor Cardiovasc Surg 1993; 106: 1088-91




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