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[Barotraumatic rupture of the esophagus : a case report (author's transl)].

Letoquart Jp, F Saudreau, C Loisance, Y Kerdiles, A Mambrini

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Abstract

A case of barotraumatic rupture of the thoracic esophagus with a favorable outcome is reported, and the 12 cases found in the published literature reviewed. Mortality was 3 out of 5 in unoperated cases, and only 1 out of 7 in the patients treated by surgery. This emphasizes the need for early diagnosis, thoracotomy for esophageal repair, drainage by-passing digestive secretions, and parenteral feeding, this constituting the best guarantee in the fight against mediastinitis.

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What this paper is about

A case of barotraumatic rupture of the thoracic esophagus with a favorable outcome is reported, and the 12 cases found in the published literature reviewed. Mortality was 3 out of 5 in unoperated cases, and only 1 out of 7 in the patients treated by surgery. This emphasizes the need for early diagnosis, thoracotomy for esophageal repair, drainage by-passing digestive secretions, and parenteral feeding, this constituting the best guarantee in the fight against mediastinitis.

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Available abstract

A case of barotraumatic rupture of the thoracic esophagus with a favorable outcome is reported, and the 12 cases found in the published literature reviewed. Mortality was 3 out of 5 in unoperated cases, and only 1 out of 7 in the patients treated by surgery. This emphasizes the need for early diagnosis, thoracotomy for esophageal repair, drainage by-passing digestive secretions, and parenteral feeding, this constituting the best guarantee in the fight against mediastinitis.

Key concepts: Medicine, Mediastinitis, Esophagus, Thoracotomy, Surgery, General surgery, Esophageal disease, Cardiothoracic surgery

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