The clinical analysis of severe complications induced by esophageal foreign bodies.
- Author:
Yitao MAO
1
;
Zhiying NIE
;
Fuwei YANG
;
Weijing WU
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Child;
Child, Preschool;
Esophagus;
Female;
Foreign Bodies;
complications;
surgery;
Humans;
Male;
Middle Aged;
Retrospective Studies;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(24):1111-1115
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore and analyze the clinical characteristics and treatment strategy of severe complications caused by esophageal foreign bodies.
METHOD:A retrospective study was carried out on 49 cases with foreign bodies in esophagus through careful analysis of their clinical data to explore the associated problems with etiology and therapy. Among this complications, there were cases of 13 periesophageal abscess, 20 cases of abscess in the neck, 11 cases of mediastinal abscess, 3 tracheoesophageal fistula, 1 case of aorta injury and 1 septicemia.
RESULT:Forty-eight (97.96%) of the patients recovered while one died.
CONCLUSION:Hard esophagoscopy under general anesthesia is the main therapeutic strategy to take out the esophageal foreign bodies. When it failed or severe complications such as perforation or others emerged, open surgery like lateral neck incision or thoracotomy supplemented with positive and timely supporting therapy are vital and essential.
