T-tube placement as a method for treating penetrating oesophageal injuries

Roger Christopher Gill, K. M.Inam Pal, Fatima Mannan, Amber Bawa, Saulat H. Fatimi

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Introduction Penetrating oesophageal injuries are extremely rare. Their timely recognition can be difficult and optimal treatment remains controversial. Early recognition of injury is possible with the help of a high index of suspicion and early radiological and endoscopic examinations. Prompt surgical intervention with primary repair of injury, should be the goal. Presentation of cases We describe two cases of penetrating oesophageal trauma where T-Tube placement through the oesophageal defect, was successfully employed. Both cases proved to be challenging due to time lapse after injury and anatomical location. Discussion Penetrating injuries to the Oesophagus are rare with a reported incidence of 11–17%, most are due to gunshot injuries or stabbings, cervical followed by the thoracic Oesophagus are most at risk. In delayed presentations and sepsis related multi-organ instability, diversion and drainage are considered appropriate. T-tube placement through defects in difficult situations of delayed presentation is well described in setting of iatrogenic perforations. Their use has been described in penetrating injuries but much less frequently. Conclusion T-tube placement though oesophageal defects can prove to be an effective treatment option to repair both iatrogenic and penetrating injuries of the Oesophagus, whether early or delayed.

Original languageEnglish
Pages (from-to)255-257
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume28
DOIs
Publication statusPublished - 2016

Keywords

  • Penetrating Oesophageal injuries
  • T-Tube

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