کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3312200 | 1211012 | 2010 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Perforations de l'Åsophage
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
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چکیده انگلیسی
The incidence of esophageal perforation (EP) has raised with the increasing use of endoscopic procedures, which are currently the most frequent causes of EP. Despite decades of clinical experience, innovations in surgical technique and advances in intensive care management, EP still represents a diagnostic and therapeutic challenge. EP is a devastating event and mortality remains close to 20%. Ambiguous presentations leading to misdiagnosis and delayed treatment, and the difficulties in management are responsible for the high morbidity and mortality rates. A high variety of treatment options is available ranging from observational medical therapy to radical esophagectomy. The potential role of interventional endoscopy and the use of stents for the treatment of EP seem interesting but remain to be evaluated. Surgical primary repair, with or without reinforcement, is the preferred approach in patients with EP. Prognosis is mainly determined by the cause, the location of the injury and the delay between perforation and initiation of therapy.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal de Chirurgie Viscérale - Volume 147, Issue 3, June 2010, Pages 169-181
Journal: Journal de Chirurgie Viscérale - Volume 147, Issue 3, June 2010, Pages 169-181
نویسندگان
M. Chirica, A. Champault, X. Dray, L. Sulpice, N. Munoz-Bongrand, E. Sarfati, P. Cattan,