Imaging the oesophagus after penetrating cervical trauma using water-soluble contrast alone: Simple, cost-effective and accurate

Emergency Medicine Journal

Volumn 26, Issue 2, 2009, Pages 106-108

  Nel, L ^a   Whitfield Jones, L ^b   Hardcastle, T C ^b,c  

^a STELLENBOSCH UNIVERSITY   (South Africa)

^b STELLENBOSCH UNIVERSITY   (South Africa)

^c PostNet   (South Africa)

Author keywords

[No Author keywords available]

Indexed keywords

CONTRAST MEDIUM; UNCLASSIFIED DRUG; WATER SOLUBLE CONTRAST;

ARTICLE; CERVICAL SPINE INJURY; CONSERVATIVE TREATMENT; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; ESOPHAGUS; HEALTH CARE POLICY; HUMAN; MAJOR CLINICAL STUDY; NECK; PENETRATING TRAUMA; PHARYNX; PREDICTION AND FORECASTING; PRIORITY JOURNAL; RELIABILITY; RETROSPECTIVE STUDY; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY;

CONTRAST MEDIA; COST-BENEFIT ANALYSIS; ESOPHAGUS; FALSE NEGATIVE REACTIONS; HUMANS; INCIDENTAL FINDINGS; IOHEXOL; MEDICAL AUDIT; PHARYNX; RETROSPECTIVE STUDIES; WOUNDS, PENETRATING;

EID: 61749102400     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2008.063958     Document Type: Article

References (18)

1. Apffelstaed JP, Muller R. Results of mandatory exploration for penetrating neck trauma. World J Surg 1994;18:917-20.
2. Madiba TE, Muckart DJ. Penetrating injuries to the cervical oesophagus: is routine exploration mandatory? Ann R Coll Surg Engl 2003;85:162-6.
3. Ngakane H, Muckart DJ, Luvuno FM. Penetrating visceral injuries of the neck. Results of a conservative management policy. Br J Surg 1990;77:908-10.
4. Gerst PH, Sharma SK, Sharma PK. Selective management of penetrating neck trauma. Am Surg 1990;56:553-5.
5. Demetriades D, Charalambides D, Lakhoo M. Physical examination and selective conservative management in patients with penetrating injuries of the neck. Br J Surg 1993;80:1534-6.
6. Campbell FC, Robbs JV. Penetrating injuries of the neck: a prospective study of 108 patients. Br J Surg 1980;67:582-6.
7. Weigelt JA, Thal ER, Snyder WH 3rd, et al. Diagnosis of penetrating cervical esophageal injuries. Am J Surg 1987;154:619- 22.
8. Wu JT, Mattox KL, Wall MJ. Esophageal perforations: new perspectives and treatment paradigms. J Trauma 2007;63:1173-84.
9. American College of Surgeons. Advanced Trauma Life Support for doctors: student course manual. 7th ed. Chicago: American College of Surgeons, 2004.
10. Britt LD, Weireter LJ, Cole FJ. Management of acute neck injuries. In: Feliciano DV, Mattox KL, Moore EE, eds. Trauma. 6th ed. New York: McGraw Hill, 2008:467-9.
11. Asensio JA, Chahwan S, Forno W, et al. Penetrating esophageal injuries: multicenter study of the American Association for the Surgery of Trauma. J Trauma 2001;50:289-96.
12. Stanley RB Jr, Armstrong WB, Fetterman BL, et al. Management of external penetrating injuries into the hypopharyngeal-cervical esophageal funnel. J Trauma 1997;42:675-9.
13. Brick SH, Caroline DF, Lev-Toaff AS, et al. Esophageal disruption: evaluation with iohexol esophagography. Radiology 1988;169:141-3.
14. Ginai AZ, ten Kate FJ, ten Berg GM, et al. Experimental evaluation of various available contrast agents for use in the upper gastrointestinal tract in case of suspected leakage: effects on mediastinum. Br J Radiol 1985;58:585-92.
15. Tisherman SA, Bokhari F, Collier B, et al. Clinical practice guideline: penetrating zone II neck trauma. J Trauma 2008;64:1392-405.
16. Backer CL, LoCicero J 3rd, Hartz RS, et al. Computed tomography in patients with esophageal perforation. Chest 1990;98:1078-80.
17. Noyes LD, McSwain NE Jr, Markowitz IP. Panendoscopy with arteriography versus mandatory exploration of penetrating wounds of the neck. Ann Surg 1986;204:21-31.
18. Armstrong WB, Detar TR, Stanley RB. Diagnosis and management of external penetrating cervical esophageal injuries. Ann Otol Rhinol Laringol 1994;103:863-71.