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Title: Mediastinite por perfuração e ruptura do esôfago torácico
Other Titles: Mediastinitis from perfuration and rupture of the thoracic esophagus
metadata.dc.creator: TAVARES, Marco Antônio Franco
AZEVEDO, Ives Uchôa de
MODESTO, Alessandre Santana
JANAHÚ, Ajalce de Jesus Leão
FELIZ, Allan Hebert
Keywords: Esôfago - Lesões
Esôfago - Cirurgia
Perfuração esofágica
Esophagus/ injuries
Issue Date: Dec-2006
Publisher: Colégio Brasileiro de Cirurgiões
Citation: NORMANDO JÚNIOR, Geraldo Roger et al. Mediastinite por perfuração e ruptura do esôfago torácico. Revista do Colégio Brasileiro de Cirurgiões, Rio de Janeiro, v. 33, n. 6, p. 361-364, nov./dez. 2006. Disponível em: Acesso em:.
Abstract: BACKGROUND: To evaluate the mortality by mediastinitis and sepsis originated from ruptures and perfurations of the thoracic esophagus, according to length of diagnosis.  METHODS: A retrospective study of 14 years (1992 to 2006) was carried out including patients with thoracic esophageal ruptures and perforations, stratified according to sex, age, mechanism of injury, evolution and treatment (< 24 hours and > 24 hours).  RESULTS: Sample was composed of 44 patients, 10 females > (22,73%) and 34 males (77,27%). Age range was from 2 months to 77 years, mean 33,2 years. 19 cases (43,18%) were penetrating external trauma: stab in five cases and gunshot in 14. Endoscopic instrumentation was detected in nine cases (20,45%). Patients in whom esophagorraphy was carried out(early diagnosis, less than 24 hours) the mortality was occurred in three cases (20%). Patients in whom esophagectomy was carried out (later diagnosis, more than 24 hours), mortality occurred in eight cases (36,36%), without statistical significance (p >0,05). Considering conservative treatment, mortality was 71,4% (five out of seven cases) and the difference was statistically significant when compared with patients treated by surgery.  CONCLUSION: Conservative treatment of mediastinitis from esophageal ruptures and Perforations showed a high mortality rate when compared to surgical treatment. Among surgical patients, the difference was not significant, reaffirming the indication of esophagectomy in advanced infection (more than 24 hours) and esophogorraphy in early cases.
ISSN: 0100-6991
Appears in Collections:Artigos Científicos - HUJBB

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