Early diagnosis saves lives in esophageal perforations

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dc.contributor.authorTaslak, Ayşen Şengül
dc.contributor.authorBüyükkarabacak Bilgin, Yasemin
dc.contributor.authorYetim Durgun, Tülin
dc.contributor.authorPirzirenli, Mehmet Gökhan
dc.contributor.authorÇelik, Burçin
dc.contributor.authorBaşoğlu, Ahmet
dc.date.accessioned2019-07-16T15:55:23Z
dc.date.available2019-07-16T15:55:23Z
dc.date.issued2013
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim: Esophageal perforations are rare but highly fatal pathologies. This study aims to discuss the treatment methods for esophageal perforations. Materials and methods: Twenty-two patients who were diagnosed with esophageal perforation in the Ondokuz Mayıs University Faculty of Medicine’s thoracic surgery clinics between 2000 and 2011 were retrospectively evaluated. Results: The cause of perforation was foreign body in 17 patients, dilatation with bougie in 2, balloon dilatation in 2, and spontaneous rupture in 1. Eight patients had cervical, 12 had thoracal, and 2 had thoracoabdominal esophagus perforations. The period between perforation occurrence and treatment was longer than 24 h in 10 patients and shorter than 24 h in 12 patients. Eight patients were treated with primary repair and debridement, 5 with chest tube drainage and conservative treatment, and 1 with self-opening stent, and 1 patient underwent resection. On the other hand, 7 patients were followed with conservative therapy after the removal of the foreign body with esophagoscopy. There was 1 mortality in the surgically treated group, while there were 4 in the conservatively treated group. Conclusion: Surgery is the “gold standard” for the treatment of esophageal perforations. Conservative therapy should be applied only in selected patients under careful monitoring. The most important factor for morbidity and mortality is early diagnosis and determination of the treatment method that best suits the patient.en_US
dc.description.abstractAim: Esophageal perforations are rare but highly fatal pathologies. This study aims to discuss the treatment methods for esophageal perforations. Materials and methods: Twenty-two patients who were diagnosed with esophageal perforation in the Ondokuz Mayıs University Faculty of Medicine’s thoracic surgery clinics between 2000 and 2011 were retrospectively evaluated. Results: The cause of perforation was foreign body in 17 patients, dilatation with bougie in 2, balloon dilatation in 2, and spontaneous rupture in 1. Eight patients had cervical, 12 had thoracal, and 2 had thoracoabdominal esophagus perforations. The period between perforation occurrence and treatment was longer than 24 h in 10 patients and shorter than 24 h in 12 patients. Eight patients were treated with primary repair and debridement, 5 with chest tube drainage and conservative treatment, and 1 with self-opening stent, and 1 patient underwent resection. On the other hand, 7 patients were followed with conservative therapy after the removal of the foreign body with esophagoscopy. There was 1 mortality in the surgically treated group, while there were 4 in the conservatively treated group. Conclusion: Surgery is the “gold standard” for the treatment of esophageal perforations. Conservative therapy should be applied only in selected patients under careful monitoring. The most important factor for morbidity and mortality is early diagnosis and determination of the treatment method that best suits the patient.en_US
dc.identifier.endpage945en_US
dc.identifier.issn1300-0144
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-84884948120en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage939en_US
dc.identifier.urihttps://trdizin.gov.tr/publication/paper/detail/TWpFeE56STFOUT09
dc.identifier.urihttps://hdl.handle.net/20.500.12483/2048
dc.identifier.volume43en_US
dc.identifier.wosWOS:000325156700011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerrahien_US
dc.titleEarly diagnosis saves lives in esophageal perforationsen_US
dc.typeArticleen_US

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