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Total Esophageal Avulsion at the Esophagogastric Junction after Blunt Trauma

Total avulsion and transection of the esophagus at the esophagogastric junction are very rare after blunt trauma, and their management is challenging. Here, we present the case of a boy with this injury. To date, only two cases have been reported in children. One was treated successfully and the oth...

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Detalles Bibliográficos
Autores principales: Uygun, Ibrahim, Otcu, Selcuk, Aydogdu, Bahattin, Okur, Mehmet Hanifi, Arslan, Mehmet Serif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638497/
https://www.ncbi.nlm.nih.gov/pubmed/23691421
http://dx.doi.org/10.1155/2013/265073
Descripción
Sumario:Total avulsion and transection of the esophagus at the esophagogastric junction are very rare after blunt trauma, and their management is challenging. Here, we present the case of a boy with this injury. To date, only two cases have been reported in children. One was treated successfully and the other died. The initial emergency operation should aim to save the life and native esophagus. Therefore, a primary or early thoracal end esophagostomy with gastrostomy should be performed, while primary repair should not be.