Esophageal emergencies: WSES guidelines

被引：161

作者：

Chirica, Mircea ^{[1
]}

Kelly, Michael D. ^{[2
]}

Siboni, Stefano ^{[3
]}

Aiolfi, Alberto ^{[3
]}

Riva, Carlo Galdino ^{[3
]}

Asti, Emanuele ^{[3
]}

Ferrari, Davide ^{[3
]}

Leppaniemi, Ari ^{[4
]}

ten Broek, Richard P. G. ^{[5
]}

Brichon, Pierre Yves ^{[6
]}

Kluger, Yoram ^{[7
]}

Fraga, Gustavo Pereira ^{[8
]}

Frey, Gil ^{[6
]}

Andreollo, Nelson Adami ^{[8
]}

Coccolini, Federico ^{[9
]}

Frattini, Cristina ^{[10
]}

Moore, Ernest E. ^{[11
]}

Chiara, Osvaldo ^{[12
]}

Di Saverio, Salomone ^{[13
]}

Sartelli, Massimo ^{[14
]}

Weber, Dieter ^{[15
]}

Ansaloni, Luca ^{[9
]}

Biffl, Walter ^{[16
]}

Corte, Helene ^{[17
]}

Wani, Imtaz ^{[18
]}

Baiocchi, Gianluca ^{[19
]}

Cattan, Pierre ^{[17
]}

Catena, Fausto ^{[20
]}

Bonavina, Luigi ^{[3
]}

机构：

[1] Ctr Hosp Univ Grenoble Alpes, Dept Digest Surg, La Tronche, France

[2] Albury Hosp, Dept Gen Surg, Albury, NSW 2640, Australia

[3] Univ Milan, Med Sch, IRCCS Policlin San Donato, Div Gen Surg, Milan, Italy

[4] Univ Hosp Meilahti Abdominal Ctr, Dept Emergency Surg, Helsinki, Finland

[5] Radboud Univ Nijmegen Med Ctr, Dept Surg, Nijmegen, Netherlands

[6] Ctr Hosp Univ Grenoble Alpes, Dept Thorac Surg, La Tronche, France

[7] Rambam Hlth Campus, Dept Gen Surg, Haifa, Israel

[8] Univ Estadual Campinas, Sch Med Sci, Div Trauma Surg, Campinas, SP, Brazil

[9] Bufalini Hosp Cesena, Gen Emergency & Trauma Surg Dept, Cesena, Italy

[10] Univ Pavia, Dept Gen Surg, Pavia, Italy

[11] Denver Hlth, Shock Trauma Ctr, Denver, CO USA

[12] Univ Milan, ASST Niguarda Milano, Gen Surg & Trauma Team, Milan, Italy

[13] Cambridge Univ Hosp, Addenbrookes Hosp, Cambridge Colorectal Unit, Cambridge, England

[14] Macerata Hosp, Dept Surg, Macerata, Italy

[15] Royal Perth Hosp, Trauma & Gen Surg, Perth, WA, Australia

[16] Scripps Mem Hosp, Div Trauma & Acute Care Surg, La Jolla, CA USA

[17] St Louis Hosp, Dept Surg, Paris, France

[18] Sheri Kashmir Inst Med Sci, Dept Surg, Srinagar, Jammu & Kashmir, India

[19] Univ Brescia, Dept Surg, Brescia, Italy

[20] Parma Univ Hosp, Emergency Surg Dept, Parma, Italy

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2019年 / 14卷 / 1期

关键词：

Esophageal perforation; Caustic ingestion; Emergency management; Foreign body ingestion; Esophageal trauma; UPPER GASTROINTESTINAL-TRACT; COMPUTED-TOMOGRAPHY EVALUATION; FOREIGN-BODIES; ENDOSCOPIC MANAGEMENT; CORROSIVE INGESTION; CAUSTIC INGESTION; CONSERVATIVE TREATMENT; FLEXIBLE ENDOSCOPY; RIGID ENDOSCOPY; FOOD IMPACTION;

D O I：

10.1186/s13017-019-0245-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The esophagus traverses three body compartments (neck, thorax, and abdomen) and is surrounded at each level by vital organs. Injuries to the esophagus may be classified as foreign body ingestion, caustic ingestion, esophageal perforation, and esophageal trauma. These lesions can be life-threatening either by digestive contamination of surrounding structures in case of esophageal wall breach or concomitant damage of surrounding organs. Early diagnosis and timely therapeutic intervention are the keys of successful management.

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