Background: Penetrating esophageal lesions are extremely
rare, less than 0.5%. They are related to high morbidity 30--66%
and mortality ~20%. There is a diagnostic and therapeutic
challenge, given its severity requires a timely approach and
aggressive management to avoid sequelae and complications.
Study design: Descriptive subgroup analysis of a retrospective
cohort (2003--2013) of patients with surgical trauma. The severity
of the trauma was assessed using the AAST classification.
Results: Of the total 2,390 cases of registered surgical trauma,
10 (0.4%) corresponded to an esophageal trauma. All cases
were observed in men with a median age of 26 years (IQR =
19--35). The cause of the most frequent injury was gunshot
injury in six patients, followed by blunt gun injury in two patients
and blast wave in the two remaining patients. The RTS in
the majority of the patients was 7.84 (IQR = 7.47--7.84). The
severity of esophageal trauma was grade II in seven patients
and grade III in three patients. Associated vascular lesions were
observed in two patients. All patients were taken to repair the
primary lesion. The most frequent complication was esophageal
tracheal fistula in four patients. A total of seven patients required
reintervention, 71% for lesions directly related to esophageal
lesion. No mortality was shown.
Conclusion: Esophageal lesions in surgical management
trauma are infrequent, no deaths were observed in this series.
Complications are common, the most commonly related is tra-
cheoesofagic fistula, the reinterventions present an adequate
Keywords: Esophageal trauma, Tracheoesofagic fistula,
How to cite this article: Rubio MA, Rubio JJ, Ospitia MA,
Sanjuan JF, Medina R, Botache WF. Complicaciones Asociadas
Al Trauma Penetrante de Esófago, Experiencia De 11 Años En
El Hospital Universitario de Neiva. Panam J Trauma Crit Care
Emerg Surg 2017;6(1):25-29.
Source of support: Nil
Conflict of interest: None