Mortality due to esophageal perforation caused by acute mediastinitis
Keywords:
surgery, acute mediastinitis, esophageal perforation, mortality.Abstract
Surgery constitutes a challenge to surgeons skill, in situations of emergency mainly when it is an esophageal perforation which is one of the most serious and complex organic breaks in the whole digestive tract. This happens due to the anatomical characteristics of the organ that is also surrounded by relaxed tissues and virtual fascia cavities; reason why, its perforation allows the infection to be quickly disseminated in the mediastinal cavity, pleura and pericardium, which causes that mortality due to acute mediastinitis exceeds the 60%.
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References
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19. Arízaga S, Bruck Rodas EB, Pino R, Reinoso J, Salamea JC. Descending necrotizing cervicomediastinitis secondary to esophageal perforation: management in a hospital with limited resources. Panam J Trauma Crit Care Emerg Surg. 2015 [citado 22 Nov 2015]; 4(1). Disponible en: http://www.jaypeejournals.com/ eJournals/ShowText.aspx?ID=7609&Type=FREE&TYP=TOP&IN=~/eJournals/images/JPLOGO.gif&IID=579&isPDF=YES
2. Fell SC. Esophageal perforation. In: Patterson GA. Pearson´s Thoracic & Esophageal Surgery. 3 ed. Philadelphia: Churchill-Livingston; 2008. p. 792-808.
3. Guerrero Pabón R, Torres Delgado E. Mediastinitis. En: Montejo González JC, García de Lorenzo y Mateos A, Marco Garde P, Ortiz Leyba C. Manual de medicina intensiva. 4 ed. Madrid: Elsevier; 2012. p. 296-302.
4. Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez M, Triviño Ramírez A. Mediastinitis. Arch Bronconeumol. 2011 [citado 22 Feb 2013]; 47(Supl 8). Disponible en: http://www.archbronconeumol.org/index.php?p=watermark &idApp=UINPBA00003Z&piiItem=S0300289611700655&origen=bronco&web=bronco&urlApp=http://www.archbronconeumol.org&estadoItem=S300&idiomaItem=es
5. Van Schooneveld TC, Rupp ME. Mediastinitis. In: Mandell GL, Bennett JE, Dolin R. Principles and Practice of Infectious diseases. 7ed. Philadelphia: Elsevier; 2010. p. 1173–82.
6. Montalva Nouveau S, Hernández Fonseca F. Perforación esofágica. En: Patología quirúrgica del esófago. Chile: Departamento de Cirugía-Campus Clínico Sur. Facultad de Medicina; [s.a] [citado 17 Abr 2015]. Disponible en: http://www.geocities.ws/cirugiasur/CDA/esofago.pdf
7. Deu Martín M. Factores de riesgo de mortalidad en la mediastinitis aguda. Barcelona: Universitat Autònoma de Barcelona. Departament de Cirugía; 2008 [citado 13 Jul 2015]. Disponible en: http://www.tdx.cat/bitstream/handle/ 10803/4316/mdm1de1.pdf?sequence=1
8. Hasimoto CN, Cataneo DC, Eldib R, Thomazi R, de Camargo Pereira RS, Minossi JG, et al. Efficacy of surgical versus conservative treatment in esophageal perforation: a systematic review of case series studies. Acta Cir Bras. 2013 [citado 28 Abr 2015]; 28(4). Disponible en: http://www.scielo.br/scielo.php?script=sci_ arttext&pid=S010286502013000400006&lng=en. http://dx.doi.org/10.1590/S0102-86502013000400006
9. Braghetto I, Rodríguez A, Csendes A, Korn O. Perforación esofágica. Experiencia clínica y actualización del tema. Rev Méd Chile. 2005 [citado 15 Feb 2014]; 133(10). Disponible en: http://www.scielo.cl/scielo.php?script= sci_arttext&pid=S0034-98872005001000014&lng=es
10. Pomi J, Rappa J, Rodríguez Goñi P, Brandolino M. Traumatismos y perforaciones de esófago: diez años de experiencia. Rev Med Urug. 2005 [citado 23 Mar 2014]; 21(4). Disponible en: http://www.scielo.edu.uy/pdf/rmu/v21n4/v21n4a08.pdf
11. Biancari F, D'Andrea V, Paone R, Di Marco C, Savino G, Koivukangas V, et al. Current treatment and outcome of esophageal perforations in adults: systematic review and meta-analysis of 75 studies. World J Surg. 2013 [citado 28 Abr 2015]; 37(5). Disponible en: https://www.researchgate.net/profile/Vito_DAndrea/ publication/235730084_Current_Treatment_and_Outcome_of_Esophageal_Perforations_in_Adults_Systematic_Review_and_Meta-Analysis_of_75_Studies/ links/0a85e52d80cc45845d000000.pdf
12. Hasimoto CN. Eficácia do tratamento reparador quando comparado aotratamento conservador naperfuração esofágica: revisão sistemática e estudo ordenado de séries de casos. Botucatu: Faculdade de Medicina de Botucatu, Universidade Estadual Paulista; 2011 [citado 18 Ene 2015]. Disponible en: http://repositorio.unesp.br/bitstream/handle/11449/91403/hasimoto_cn_me_botfm.pdf?sequence=1&isAllowed=y
13. Seybold WD, Johnson MA, Leary WV. Perforation of the esophagus; an analysis of 50 cases and an account of experimental studies. Surg Clin North Am. 1950; 30 (4): 1155-1183.
14. Mahmodlou R, Abdirad I, Ghasemi-Rad M. Aggressive surgical treatment in late-diagnosed esophageal perforation: a report of 11 cases. ISRN Surg. 2011 [citado 28 Abr 2014]; 2011. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200272/pdf/SURGERY2011-868356.pdf
15. Markar SR, Mackenzie H, Wiggins T, Askari A, Faiz O, Zaninotto G, et al. Management and outcomes of esophageal perforation: a national study of 2,564 patients in england. Am J Gastroenterol. 2015 [citado 28 Abr 2015]; 110(11): 1559–1566. Disponible en: https://www.nature.com/ajg/ journal/v110/ n11/pdf/ajg2015304a.pdf
16. Van Boeckel PGA, Sijbring A, Vleggaar FP, Siersema PD. Systematic review: temporary stent placement for benign rupture or anastomotic leak of the oesophagus. Aliment Pharmacol Ther. 2011 [citado 28 Feb 2015]; 33(12). Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2011.04663.x/pdf
17. Biancari F, Saarnio J, Mennander A, Hypén L, Salminen P, Kuttila K, at al. Outcome of patients with esophageal perforations: a multicenter study. World J Surg. 2014 [citado 28 Abr 2015]; 38(4): 902 –909. Disponible en: https://www.researchgate. net/profile/Luigi_Bonavina/publication/258204206_Outcome_of_Patients_with_Esophageal_Perforations_A_Multicenter_Study/links/55bb3c8f08aec0e5f43eba3a.pdf
18. Nazario AM. Mediastinitis aguda por perforación esófago. Clasificación evolutiva y algoritmo de tratamiento quirúrgico [Tesis Doctoral]. Santiago de Cuba: Instituto Superior de Ciencias Médicas; 2016.
19. Arízaga S, Bruck Rodas EB, Pino R, Reinoso J, Salamea JC. Descending necrotizing cervicomediastinitis secondary to esophageal perforation: management in a hospital with limited resources. Panam J Trauma Crit Care Emerg Surg. 2015 [citado 22 Nov 2015]; 4(1). Disponible en: http://www.jaypeejournals.com/ eJournals/ShowText.aspx?ID=7609&Type=FREE&TYP=TOP&IN=~/eJournals/images/JPLOGO.gif&IID=579&isPDF=YES
Published
2017-08-09
How to Cite
1.
Nazario Dolz AM, Falcón Vilariño GC, Oliu Lambert H. Mortality due to esophageal perforation caused by acute mediastinitis. MEDISAN [Internet]. 2017 Aug. 9 [cited 2025 Jun. 3];21(8). Available from: https://medisan.sld.cu/index.php/san/article/view/1430
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