Factors affecting the outcome of surgically treated non-iatrogenic traumatic cervical esophageal perforation: 28 years experience at a single center

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dc.contributor.authorOnat, Serdar
dc.contributor.authorUlku, Refik
dc.contributor.authorCigdem, Kemal M.
dc.contributor.authorAvci, Alper
dc.contributor.authorOzcelik, Cemal
dc.date.accessioned2025-01-27T20:43:54Z
dc.date.available2025-01-27T20:43:54Z
dc.date.issued2010
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: We reviewed our experience with non-iatrogenic traumatic cervical esophageal perforations, paying particular attention to factors affecting the outcome of such cases. Methods: In total, 30 patients treated surgically between 1980 and 2008 for non-iatrogenic traumatic cervical esophageal perforation in our clinic were reviewed. Results: There were 25 male and 5 female patients with a median age of 27.5 years. The type of injury was external trauma in 21 (70%) patients and endoluminal injury in the remaining 9 (30%) patients. The mechanism of injury was gunshot in 16 patients, stabbing in 4, falling in 1 (extraluminal injury), and foreign body in 9 (endoluminal injuries). The overall mortality rate was 16.6% (5/30). The mortality rate for extraluminal injuries was 19%, and for endoluminal injuries was 11.1%. Mortality in patients treated within 24 h of sustaining injury was substantially less than in those for whom diagnosis and treatment were delayed (12.5 and 21.4%, respectively). The mortality rate was 33.3% (3/9) for patients with tracheal injuries and 9.5% (2/21) for those without tracheal injuries. Conclusions: A treatment delay greater than 24 h, the presence of tracheal injury, or extraluminal perforation significantly affected the outcome of surgically treated non iatrogenic traumatic cervical esophageal perforation.
dc.identifier.doi10.1186/1749-8090-5-46
dc.identifier.issn1749-8090
dc.identifier.pmid20509978
dc.identifier.scopus2-s2.0-77952763836
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/1749-8090-5-46
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24413
dc.identifier.volume5
dc.identifier.wosWOS:000279241900001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBiomed Central Ltd
dc.relation.ispartofJournal of Cardiothoracic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectManagement
dc.subjectTomography
dc.subjectChallenge
dc.titleFactors affecting the outcome of surgically treated non-iatrogenic traumatic cervical esophageal perforation: 28 years experience at a single center
dc.typeArticle

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