[Instrumental perforation of the esophagus. Importance of diagnosis early in its clinical course].
Instrumental esophageal perforation is a serious complication that demands immediate therapy. In a retrospective study we have evaluated the results in seven patients treated for esophageal perforation by means of a conservative treatment without mortality. Instrumental dilatation of corrosive strictures were the most frequent cause of iatrogenic endoscopy. We have observed an esophageal injury associated with a Sengstaken-Blackemore tube placement. Clinical symptoms associated with chest roentgenograms guided to early diagnosis in all cases. Conservative treatment usually consist of a course of antibiotics, pleural drainage, and total parenteral nutrition. Clinical follow-up has been good in the seven patients treated.
Cano Novillo
I
I
Servicio de Cirugía Pediátrica, Hospital 12 de Octubre, Madrid.
Fraguela Mariña
J
J
Gómez Fraile
A
A
Vilariño Mosquera
A
A
Matute de Cárdenas
J A
JA
Serrano Hernández
C
C
Berchi García
F J
FJ
D000293:Adolescent; D000900:Anti-Bacterial Agents; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004945:Esophagoscopy / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017053:Infection Control; D007440:Intubation / Q000009:adverse effects; D008297:Male; D010289:Parenteral Nutrition, Total; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents
Perforación instrumental de esófago. Importancia del diagnóstico precoz en la evolución.