Skip to main content
SpringerLink
Log in

Esophageal and Gastric Injuries

  • Chapter
  • First Online:
Head, Thoracic, Abdominal, and Vascular Injuries

Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

Traumatic lesions of the esophagus can be classified into. Primary lesions, Perforations, Ruptures, Secondary lesions, Fistulas, Strictures Perforations: Perforations are due to internal or external forces. The vast majority of esophageal perforations occur iatrogenic (e.g., endoscopy, dilatation, transesophageal echocardiography (TEE), Sengstaken–Blakemore tubes, endotracheal tubes). Penetrating injuries due to external forces (e.g., stab wounds, gunshots) are less frequent. For the therapeutic concept it should always be kept in mind whether a normal or already diseased organ (e.g., peptic stenosis, achalasia, carcinoma) is perforated.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Adams BD, Sebastian BM, Carter J (2006) Honoring the admiral: Boerhaave-van Wassenaer’s syndrome. Dis Esophagus 19(3):146–151

    Article  PubMed  CAS  Google Scholar 

  2. Altorjay A, Kiss J, Vörös A, Bohák A (1997) Nonoperative management of esophageal perforations. Is it justified? Ann Surg 225(4):415–421

    Article  PubMed  CAS  Google Scholar 

  3. Anderson KD, Rouse TM, Randolph JG (1990) A controlled trial of corticosteroids in children with corrosive injury of the esophagus. N Engl J Med 323(10):637–640

    Article  PubMed  CAS  Google Scholar 

  4. Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y (2001) Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 160(8):468–472

    Article  PubMed  CAS  Google Scholar 

  5. Asensio JA, Chahwan S, Forno W, MacKersie R, Wall M, Lake J, Minard G, Kirton O, Nagy K, Karmy-Jones R, Brundage S, Hoyt D, Winchell R, Kralovich K, Shapiro M, Falcone R, McGuire E, Ivatury R, Stoner M, Yelon J, Ledgerwood A, Luchette F, Schwab CW, Frankel H, Chang B, Coscia R, Maull K, Wang D, Hirsch E, Cue J, Schmacht D, Dunn E, Miller F, Powell M, Sherck J, Enderson B, Rue L 3rd, Warrenc R, Rodriquez J, West M, Weireter L, Britt LD, Dries D, Dunham CM, Malangoni M, cFallon W, Simon R, Bell R, Hanpeter D, Gambaro E, Ceballos J, Torcal J, Alo K, Ramicone E, Chan L (2001) American Association for the Surgery of Trauma. Penetratingesophageal injuries: multicenter study of the American Association for the Surgery of Trauma. J Trauma 50(2):289–296

    Article  PubMed  CAS  Google Scholar 

  6. Beal SL, Pottmeyer EW, Spisso JM (1988) Esophageal perforation following external blunt trauma. J Trauma 28(10):1425–1432

    Article  PubMed  CAS  Google Scholar 

  7. Berggreen PJ, Harrison E, Sanowski RA, Ingebo K, Noland B, Zierer S (1993) Techniques and complications of esophageal foreign body extraction in children and adults. Gastrointest Endosc 39(5):626–630

    Article  PubMed  CAS  Google Scholar 

  8. Brady PG (1991) Esophageal foreign bodies. Gastroenterol Clin North Am 20(4):691–701

    PubMed  CAS  Google Scholar 

  9. Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC (2004) Evolving options in the management of esophageal perforation. Ann Thorac Surg 77(4):1475–83

    Google Scholar 

  10. Cameron JL, Kieffer RF, Hendrix TR, Mehigan DG, Baker RR (1979) Selective nonoperative management of contained intrathoracic esophageal disruptions. Ann Thorac Surg 27(5):404–408

    Article  PubMed  CAS  Google Scholar 

  11. Daniel WG, Erbel R, Kasper W, Visser CA, Engberding R, Sutherland GR, Grube E, Hanrath P, Maisch B, Dennig K et al (1991) Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 83(3):817–821

    Article  PubMed  CAS  Google Scholar 

  12. De Schipper JP, ter Gunne AF Pull, Oostvogel HJ, van Laarhoven CJ (2009) Spontaneous rupture of the oesophagus: Boerhaave’s syndrome in 2008. Literature review and treatment algorithm. Dig Surg 26(1):1–6

    Article  PubMed  Google Scholar 

  13. Durham R (1990) Management of gastric injuries. Surg Clin North Am 70(3):517–527

    PubMed  CAS  Google Scholar 

  14. Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, Mallery JS, Raddawi HM, Vargo JJ 2nd, Waring JP, Fanelli RD, Wheeler-Harbough J (2002) American Society for Gastrointestinal Endoscopy Guideline for the management of ingested foreign bodies. Gastrointest Endosc 55(7):802–806

    Article  PubMed  Google Scholar 

  15. Fischer A, Thomusch O, Benz S, von Dobschuetz E, Baier P, Hopt UT (2006) Nonoperative treatment of 15 benign esophageal perforations with self-expandable covered metal stents. Ann Thorac Surg 81(2):467–472

    Article  PubMed  Google Scholar 

  16. Han Y, Cheng QS, Li XF, Wang XP (2004) Surgical management of esophageal strictures after caustic burns: a 30 years of experience. World J Gastroenterol 10(19):2846–2849

    PubMed  Google Scholar 

  17. Howell JM, Dalsey WC, Hartsell FW, Butzin CA (1992) Steroids for the treatment of corrosive esophageal injury: a statistical analysis of past studies. Am J Emerg Med 10(5):421–425

    Article  PubMed  CAS  Google Scholar 

  18. Kavic SM, Basson MD (2001) Complications of endoscopy. Am J Surg 181(4):319–332

    Article  PubMed  CAS  Google Scholar 

  19. Kochhar R, Sethy PK, Kochhar S, Nagi B, Gupta NM (2006) Corrosive induced carcinoma of esophagus: report of three patients and review of literature. J Gastroenterol Hepatol 21(4):777–780

    Article  PubMed  Google Scholar 

  20. Horváth OP, Oláh T, Zentai G (1991) Emergency esophagogastrectomy for treatment of hydrochloric acid injury. Ann Thorac Surg 52(1):98–101

    Article  PubMed  Google Scholar 

  21. Kiernan PD, Sheridan MJ, Hettrick V, Vaughan B, Graling P (2006) Thoracic esophageal perforation: one surgeon’s experience. Dis Esophagus 19(1):24–30

    Article  PubMed  CAS  Google Scholar 

  22. Kikendall JW (1991) Caustic ingestion injuries. Gastroenterol Clin North Am 20(4):847–857

    PubMed  CAS  Google Scholar 

  23. Lai AT, Chow TL, Lee DT, Kwok SP (2003) Risk factors predicting the development of complications after foreign body ingestion. Br J Surg 90(12):1531–1535

    Article  PubMed  CAS  Google Scholar 

  24. Lam HC, Woo JK, van Hasselt CA (2003) Esophageal perforation and neck abscess from ingested foreign bodies: treatment and outcomes. Ear Nose Throat J 82(10):786, 789–94

    PubMed  Google Scholar 

  25. Lam HC, Woo JK, van Hasselt CA (2001) Management of ingested foreign bodies: a retrospective review of 5240 patients. J Laryngol Otol 115(12):954–957

    Article  PubMed  CAS  Google Scholar 

  26. Leers JM, Vivaldi C, Schäfer H, Bludau M, Brabender J, Lurje G, Herbold T, Hölscher AH, Metzger R (2009) Endoscopic therapy for esophageal perforation or anastomotic leak with a self-expandable metallic stent. Surg Endosc 23(10):2258–62

    Google Scholar 

  27. Luk WH, Fan WC, Chan RY, Chan SW, Tse KH, Chan JC (2009) Foreign body ingestion: comparison of diagnostic accuracy of computed tomography versus endoscopy. J Laryngol Otol 123(5):535–540

    Article  PubMed  Google Scholar 

  28. Mannegold BC (1992) Fremdkörper im Bereich von Ösophagus und Magen. In: Siewert JR et al. (ed) Chirurgische Gastroenterologie, Band 2, 2. Auflage, Springer, Berlin Heidelberg Tokyo New York

    Google Scholar 

  29. Min JK, Spencer KT, Furlong KT, DeCara JM, Sugeng L, Ward RP, Lang RM (2005) Clinical features of complications from transesophageal echocardiography: a single-center case series of 10, 000 consecutive examinations. J Am Soc Echocardiogr 18(9):925–929

    Article  PubMed  Google Scholar 

  30. Mumtaz H, Barone GW, Ketel BL, Ozdemir A (2002) Successful management of a nonmalignant esophageal perforation with a coated stent. Ann Thorac Surg 74(4): 1233–1235

    Article  PubMed  Google Scholar 

  31. Pikoulis E, Delis S, Tsatsoulis P, Leppäniemi A, Derlopas K, Koukoulides G, Mantonakis S (1999) Blunt injuries of the stomach. Eur J Surg 165(10):937–939

    Article  PubMed  CAS  Google Scholar 

  32. Poley JW, Steyerberg EW, Kuipers EJ, Dees J, Hartmans R, Tilanus HW, Siersema PD (2004) Ingestion of acid and alkaline agents: outcome and prognostic value of early upper endoscopy. Gastrointest Endosc 60(3):372–377

    Article  PubMed  Google Scholar 

  33. Salo JA, Isolauri JO, Heikkilä LJ, Markkula HT, Heikkinen LO, Kivilaakso EO, Mattila SP (1993) Management of delayed esophageal perforation with mediastinal sepsis. Esophagectomy or primary repair? J Thorac Cardiovasc Surg 106(6):1088–1091

    PubMed  CAS  Google Scholar 

  34. Sheely CH 2nd, Mattox KL, Beall AC Jr, DeBakey ME (1975) Penetrating wounds of the cervical esophagus. Am J Surg 130(6):707–711

    Article  PubMed  Google Scholar 

  35. Silvis SE, Nebel O, Rogers G, Sugawa C, Mandelstam P (1976) Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA 235(9):928–930

    Article  PubMed  CAS  Google Scholar 

  36. Spitz L, Lakhoo K (1993) Caustic ingestion. Arch Dis Child 68(2):157–158

    Article  PubMed  CAS  Google Scholar 

  37. Stein HJ, von Rahden BHA, Bartels H, Siewert JR (2006) Verletzungen von Oesophagus und Magen. In: Siewert, Rothmund, Schumpelik (eds) Praxis der Viszeralchirurgie. Springer, Heidelberg

    Google Scholar 

  38. Thal AP (1968) A unified approach to surgical problems of the esophagogastric junction. Ann Surg 168(3):542–550

    Article  PubMed  CAS  Google Scholar 

  39. Vaezi MF, Richter JE (1998) Current therapies for achalasia: comparison and efficacy. J Clin Gastroenterol 27(1):21–35

    Article  PubMed  CAS  Google Scholar 

  40. von Rahden BH, Feith M, Dittler HJ, Stein HJ (2002) Cervical esophageal perforation with severe mediastinitis due to an impacted dental prosthesis. Dis Esophagus 15(4):340–344

    Article  Google Scholar 

  41. White RE, Mungatana C, Topazian M (2003) Expandable stents for iatrogenic perforation of esophageal malignancies. J Gastrointest Surg 7(6):715–719, discussion 719–20

    Article  PubMed  Google Scholar 

  42. Wilkinson AE (1989) Injuries of the stomach. An analysis of 95 cases. S Afr J Surg 27(2):59–60, discussion 60–1

    PubMed  CAS  Google Scholar 

  43. Wu MH, Lai WW (1993) Surgical management of extensive corrosive injuries of the alimentary tract. Surg Gynecol Obstet 177(1):12–16

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland

    Paul M. Schneider

  2. Department of Surgery, University Hospital Zurich, Zurich, Switzerland

    Georg Lurje & Marc Schiesser

  3. Department of Gastroenterology, University of Zurich, Zurich, Switzerland

    Peter Bauerfeind

Authors
  1. Paul M. Schneider
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Georg Lurje
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Peter Bauerfeind
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marc Schiesser
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Paul M. Schneider .

Editor information

Editors and Affiliations

  1. Klinik fĂĽr Unfall- und, Wiederherstellungschirurgie, Allgemeines Krankenhaus Celle, Siemensplatz 4, Celle, 29223, Germany

    Hans-Jörg Oestern

  2. Forschungsabteilung Chirurgie, UniversitätsSpital Zürich, Rämistr. 100, Zürich, 8091, Switzerland

    Otmar Lorenz Trentz

  3. Medizinische Universität Graz, Auenbruggerplatz 15, Graz, 8036, Austria

    Selman Uranues

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Berlin Heidelberg

About this chapter

Cite this chapter

Schneider, P.M., Lurje, G., Bauerfeind, P., Schiesser, M. (2011). Esophageal and Gastric Injuries. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) Head, Thoracic, Abdominal, and Vascular Injuries. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88122-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-88122-3_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88121-6

  • Online ISBN: 978-3-540-88122-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation