Advertisement

Esophageal Trauma

  • Ana Gabriela Clemente
  • João Henrique Felicio de Lima
  • Beatriz Ortis Yazbek
  • Ana Luisa Bettega
  • Antonio Marttos
Chapter

Abstract

Esophageal injuries are a challenge to surgeons due to their complex presentation, diagnosis, and treatment. In spite of improved surgical techniques, new diagnostic modalities, and therapeutic advancements, morbidity and mortality rates remain high. Isolated esophageal trauma is rare and is usually related to other organic lesions. Complications include stenosis, fistula (10% to 28%), wound infection, mediastinitis, empyema, pneumonia, and sepsis. Diagnostic evaluation is composed of radiological and endoscopic exams. The first exams that should be performed are cervical and chest X-ray, which can present abnormalities in around 80% of the cases, such as pneumothorax, pleural effusion, pneumomediastinum, enlargement of the mediastinum, and retropharyngeal of subcutaneous tissue air dissection.

Keywords

Esophageal injuries Esophageal trauma 

Bibliography

  1. 1.
    Defore WW, Mattox KL, Hansen HA, et al. Surgical management of penetrating injuries of the esophagus. Am J Surg. 1997;134:734.CrossRefGoogle Scholar
  2. 2.
    Mattox KL, et al. Injury to the esophagus, trachea, and bronchus. In: Moore EE, Mattox KL, Feliciano DV, editors. Trauma manual. 4th ed. New York: McGraw-Hill; 2003. p. 178–82.Google Scholar
  3. 3.
    Rocha AC. Trauma cervical. In: Saad Jr R, Salles RARV, Carvalho WR, Maia AM, editors. Tratado de Cirurgia do CBC. 1st ed. São Paulo: Editora Atheneu; 2009. p. 633–9.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ana Gabriela Clemente
    • 1
  • João Henrique Felicio de Lima
    • 2
  • Beatriz Ortis Yazbek
    • 3
  • Ana Luisa Bettega
    • 1
  • Antonio Marttos
    • 4
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Department of SurgeryHospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Faculdade de Ciências Médicas de SantosSantos, São PauloBrazil
  4. 4.William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of SurgeryLeonard M. Miller School of Medicine Miami, University of MiamiMiamiUSA

Personalised recommendations