title: [Instrumental perforation of the esophagus. Importance of diagnosis early in its clinical course].
abstract: 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.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital 12 de Octubre, Madrid.
authors.forename: I
authors.initials: I
authors.lastname: Cano Novillo
authors.forename: J
authors.initials: J
authors.lastname: Fraguela Mariña
authors.forename: A
authors.initials: A
authors.lastname: Gómez Fraile
authors.forename: A
authors.initials: A
authors.lastname: Vilariño Mosquera
authors.forename: J A
authors.initials: JA
authors.lastname: Matute de Cárdenas
authors.forename: C
authors.initials: C
authors.lastname: Serrano Hernández
authors.forename: F J
authors.initials: FJ
authors.lastname: Berchi García
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Perforación instrumental de esófago. Importancia del diagnóstico precoz en la evolución.