Özofagus'un acil problemleri

Özofagus oral kavite ile mideyi birleştiren müsküler bir kanaldır. Özofagus'un seroza tabakasının olmaması nedeni ile girişimsel işlemler açısından farklı bir konumdadır. Bu derlemede yabancı cisim, kostik madde alımı ve perforasyon sonucu gelişen özofagus patolojilerine ek olarak özofagus varis kanamaları gibi acil klinik durumlar da kısaca tartışıldı.

Emergency esophageal diseases

The esophagus is a muscular channel connecting the oral cavity to the stomach. The application of interventional procedures to the esophagus is very important because of the lack of a serosal layer. In this review, in addition to other esophageal emergencies such as esophageal foreign bodies, corrosive ingestion and esophageal perforation, esophageal variceal bleeding is also discussed briefly.

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  • Fahri Dere, Anatomi Atlası ve Ders Kitabı Cilt 2 Nobel Tıp Kitabevi 1999 4. Baskı, Özefagus Anatomisi, 586-91.
  • Graham DY, Smith JL. The course of patients after variceal hemorrhage. Gastroenterology 1981; 80: 800-9.
  • Moitinho E, Escorsell A, Bandi JC, et al. Prognostic value of early measu- rements of portal pressure in acute variceal bleeding. Gastroenterology 1999; 117: 626-31.
  • D’Amico G, Pagliaro L, Bosch J. The treatment of portal hypertension: a meta-analytic review. Hepatology 1995; 22: 332-54.
  • De Franchis R, Primignani M. Why do varices bleed? Gastroenterol Clin North Am 1992; 21: 85-101.
  • Bosch J, Thabut D, Bendtsen F, et al. Recombinant factor VIIa for upper gastrointestinal bleeding in patients with cirrhosis: a randomized, doub- le-blind trial. Gastroenterology 2004; 127: 1123-30.
  • Ejlersen E, Melsen T, Ingerslev J, et al. Recombinant activated factor VII (rFVIIa) acutely normalizes prothrombin time in patients with cirrhosis during bleeding from oesophageal varices. Scand J Gastroenterol 2001; 36: 1081-5.
  • Bosch J, Thabut D, Albillos A, et al. International Study Group on rFVII- a in UGI Hemorrhage. Recombinant factor VIIa for variceal bleeding in patients with advanced cirrhosis: A randomized, controlled trial. Hepa- tology 2008; 47: 1604-14.
  • Ioannou G; Doust J; Rockey DC. Terlipressin for acute esophageal vari- ceal hemorrhage. Cochrane Database Syst Rev 2003; CD 002147.
  • Laine L, Cook D. Endoscopic ligation compared with sclerotherapy for treatment of esophageal variceal bleeding. A meta-analysis. Ann Intern Med 1995; 123: 280-7.
  • Saeed ZA, Stiegmann GV, Ramirez FC, et al. Endoscopic variceal ligati- on is superior to combined ligation and sclerotherapy for esophageal va- rices: a multicenter prospective randomized trial. Hepatology 1997; 25: 71-4.
  • Jensen, DM, Kovacs, TO, Jutabha, R, et al. Initial results of a randomi- zed, prospective study of combination banding and sclerotherapy vs. sclerotherapy alone for hemostasis of bleeding esophagogastric varices (abstract). Gastrointest Endosc 1995; 41: 351A.
  • Ferrucci JT Jr, Long JA Jr. Radiologic treatment of esophageal food im- paction using intravenous glucagon. Radiology 1977; 125: 25-8.
  • Trenkner SW, Maglinte DD, Lehman GA, et al. Esophageal food impac- tion: treatment with glucagon. Radiology 1983; 149: 401-3
  • Pelclova D, Navratil T. Do corticosteroids prevent oesophageal stricture after corrosive ingestion? Toxicol Rev 2005; 24: 125-9.
  • Tiryaki T; Livanelioglu Z; Atayurt H. Early bougienage for relief of stric- ture formation following caustic esophageal burns. Pediatr Surg Int 2005; 21:78-80.
  • Eisen GM, Baron TH, Dominitz JA, et al. Complications of upper GI en- doscopy. Gastrointest Endosc 2002; 55: 784-93.
  • Jones WG 2nd, Gingsberg RJ. Esophageal perfoartion: a continuing cha- lenge. Ann Thorac Surg 1992; 53: 534-43.
  • Kratz JM, Reed CE, Crawford FA, et al. A comparison of endoesophage- al tubes: improved results with the Atkinson tube. J Thorac Cardiovasc Surg 1989; 97: 19-23.
  • Wright CD, Mathisen DJ, Wain JC, et al. Reinforced primary repair of thoracic esophageal perfoartion. Ann Thorac Surg 1995; 60: 245-8.
  • Iannettoni MD, Vlessis AA, Whyte RI, Orringer MB. Functional outcome after surgical treatment of esophageal perforation. Ann Thorac Surg 1997; 64: 1606-9.
  • Nigri GR, Giaccaglia V, Pezzoli F, et al. Misdiagnosed esophageal perfo- ration treated with endoscopic stent placement: a case report. Cases J 2009; 14: 6621.
  • Freeman RK, Van Woerkom JM, Vyverberg A, Ascioti AJ. Esophageal stent placement for the treatment of spontaneous esophageal perforati- ons. Ann Thorac Surg. 2009; 88: 194-8.
  • Kiernan PD, Sheridan MJ, Elster E, et al. Thoracic esophageal perforati- ons. South Med J 2003; 96: 158-63.