Impact of the treatment of patients with acute esophageal perforation in survival

Authors

  • Ana María Nazario Dolz Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba
  • Carlos G. Falcón Vilariño Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba
  • Modesto Matos Tamayo Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba
  • Hernan Oliu Lambert Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba
  • Lázaro Ibrahim Romero García Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba

Keywords:

esophageal perforation, reinforced suture, mediastinoclysis, survival, secondary health care.

Abstract

A descriptive and cross-sectional serial cases study, of 35 patients with acute esophageal perforation, discharged from the General Surgery Service of “Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba was carried out, from January, 1990 to September, 2014, aimed at characterizing them according to the epidemiologic, clinical and therapeutic variables of interest. In the series the strange body of difficult extraction (42.8%), thoracic localization (51.4%) and surgical treatment prevailed in all the patients. On the other hand, the reinforced esophagus suture was used in those affected with less than 24 hours of natural course and mediastinal cavity drainage and mediastinoclysis by median sternotomy in those with more than 24 hours of natural course, which diminished in 50% the mortality regarding the drainage and simple mediastinal cavity debridement. It was concluded that early surgical treatment is vital to improve the survival and terminal esophageal exclusion in the neck, as well as   mediastinal cavity wash by means of mediastinoclysis, are effective in the patients with acute mediastinitis due to this cause.  

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Author Biographies

Ana María Nazario Dolz, Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba


Carlos G. Falcón Vilariño, Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba


Modesto Matos Tamayo, Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba

Especialista de Primer grado en Cirugía General. Especialista de Primer Grado en MGI.Instructor. Master en Urgencias Médicas. Investigador Agregado. Miembro de la Academia de Ciencias de Cuba.

Hernan Oliu Lambert, Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba


Lázaro Ibrahim Romero García, Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Universidad de Ciencias Médicas, Santiago de Cuba


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Published

2016-04-07

How to Cite

1.
Nazario Dolz AM, Falcón Vilariño CG, Matos Tamayo M, Oliu Lambert H, Romero García LI. Impact of the treatment of patients with acute esophageal perforation in survival. MEDISAN [Internet]. 2016 Apr. 7 [cited 2025 Nov. 4];20(4). Available from: https://medisan.sld.cu/index.php/san/article/view/635

Issue

Vol. 20 No. 4 (2016): MEDISAN

Section

Original Articles

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