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The Annals of Thoracic Surgery, Vol 48, 309-314, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Management of esophageal injuries

HE Cohn, A Hubbard and G Patton
Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107.

A multiinstitutional study of 39 esophageal injuries treated between 1982 and 1988 and a comprehensive review of the literature revealed an unacceptably high mortality rate of more than 20%. Results of the current study indicated that prompt diagnosis and aggressive surgical management of esophageal injuries could improve the outcome and lower the associated mortality. The clinical experience and literature review allowed us to elaborate caveats and principles that, if adhered to, should improve the outcome in esophageal injuries.

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