Conservative treatment in isolated penetrating cervical esophageal injury: case report

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dc.contributor.author Epstein, Marina Gabrielle
dc.contributor.author Costa, Sara Venoso
dc.contributor.author Carvalho, Filipe Gusmão
dc.contributor.author Pasquetti, Aline Fioravanti
dc.contributor.author Arsie Neto, Herico
dc.contributor.author Pedroso, Pamella Tung
dc.contributor.author Simões, Cesar Augusto
dc.contributor.author Pinus, Jaques [UNIFESP]
dc.contributor.author Ribeiro Junior, Marcelo Augusto Fontenelle [UNIFESP]
dc.date.accessioned 2015-06-14T13:45:04Z
dc.date.available 2015-06-14T13:45:04Z
dc.date.issued 2012-12-01
dc.identifier http://dx.doi.org/10.1590/S1679-45082012000400019
dc.identifier.citation Einstein (São Paulo). Instituto Israelita de Ensino e Pesquisa Albert Einstein, v. 10, n. 4, p. 505-507, 2012.
dc.identifier.issn 1679-4508
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/7418
dc.description.abstract Non-iatrogenic traumatic cervical esophageal perforations are usually hard to manage in the clinical setting, and often require a careful and individualized approach. The low incidence of this particular problem leads to a restricted clinical experience among most centers and justify the lack of a standardized surgical approach. Conservative treatment of esophageal perforation remains a controversial topic, although early and sporadic reports have registered the efficacy of non-operative care, especially following perforation in patients that do not sustain any other kind of injuries, and who are hemodynamically stable and non-septic. We report a case of a patient sustaining a single cervical gunshot wound compromising the cervical esophagus and who was treated exclusively with cervical drainage, enteral support and antibiotics. en
dc.description.abstract Ferimentos traumáticos do esôfago não iatrogênicos são de difícil manejo clínico e requerem condutas individualizadas e cuidadosas. Frente à baixa incidência dessa afecção, a maioria dos centros não possui experiência suficiente para a definição de uma conduta padronizada para o manejo de tais lesões. O tratamento conservador da perfuração do esôfago permanece um tema controverso, embora relatos mais recentes tenham documentado sua eficácia, especialmente após a perfuração, em pacientes que não apresentam outras lesões associadas, instabilidade hemodinâmica ou sinais de sepse. É apresentado aqui o caso de um paciente com ferimento por projétil no esôfago cervical tratado exclusivamente com manejo conservador, tendo sido realizados drenagem da lesão, suporte nutricional por meio de sonda nasoenteral e antibioticoterapia, com evolução satisfatória. pt
dc.format.extent 505-507
dc.language.iso eng
dc.publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.relation.ispartof Einstein (São Paulo)
dc.rights Acesso aberto
dc.subject Esophageal perforation en
dc.subject Upper gastrointestinal tract en
dc.subject Esophagus en
dc.subject Case reports en
dc.subject Perfuração esofágica pt
dc.subject Trato gastrintestinal superior pt
dc.subject Esôfago pt
dc.subject Relatos de casos pt
dc.title Conservative treatment in isolated penetrating cervical esophageal injury: case report en
dc.title.alternative Tratamento conservador de ferimento penetrante isolado do esôfago cervical: relato de caso pt
dc.type Artigo
dc.contributor.institution Universidade de Santo Amaro General Surgery Residency Program
dc.contributor.institution Hospital Municipal Dr. Moyses Deutsch Emergency Service
dc.contributor.institution Universidade de Santo Amaro
dc.contributor.institution Universidade de São Paulo (USP)
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Hospital Municipal Dr. Moyses Deutsch
dc.contributor.institution Hospital Municipal Dr. Moyses Deutsch General Surgery Service
dc.description.affiliation Universidade de Santo Amaro General Surgery Residency Program
dc.description.affiliation Hospital Municipal Dr. Moyses Deutsch Emergency Service
dc.description.affiliation Universidade de Santo Amaro
dc.description.affiliation Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Hospital Municipal Dr. Moyses Deutsch
dc.description.affiliation Hospital Municipal Dr. Moyses Deutsch General Surgery Service
dc.description.affiliationUnifesp UNIFESP
dc.identifier.file S1679-45082012000400019.pdf
dc.identifier.scielo S1679-45082012000400019
dc.identifier.doi 10.1590/S1679-45082012000400019
dc.description.source SciELO



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