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Eur J Cardiothorac Surg 1998;14:572-574
© 1998 Elsevier Science NL

War injuries to the thoracic esophagus

Nenad Ilic, Ante Petricevic, Zeljko Mimica, Sonja Tanfara, Nives Frleta Ilic

Thoracic Surgery Department, University Surgical Hospital, Clinical Hospital Split, Split, Croatia

Received 23 March 1998; received in revised form 31 August 1998; accepted 30 September 1998.

Corresponding author. Tel.:+385-21-556-277; fax: +385-21-365-738.

Objective: Presentation of our experience in the treatment of war injuries to the thoracic esophagus at the Split University Hospital, Croatia, during the 1991-1995 wars in Croatia and Bosnia-Herzegovina. Methods: Retrospective analysis of clinical and surgical data on patients with war injuries to the esophagus. Results: Of 2494 treated injured persons, 5 patients (0.2%) had injuries to the esophagus. We performed temporary double-exclusion of the esophagus in all our patients, followed by gastric interposition after partial esophagegtomy in three patients and simple suturing with pericardial protection of the esophagus in one patient. One of our patients died after double-exclusion due to septic complications in spite of antimicrobial chemoprophylaxis regularly performed in all injured persons. Final surgical outcome and mortality rate (20%) in our patients were quite satisfactory. Conclusion: Prompt transportation, appropriate diagnostic methods and an adequate surgical treatment can markedly reduce mortality and complications rate in war injuries to the thoracic esophagus.

Key Words: War injury • Esophagus • Surgical treatment






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Copyright © 1998 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.