Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND: Oesophageal perforation is a rare but life-threatening condition with a significant morbidity and mortality. In this retrospective, nationwide study, the results of oesophageal...
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/126346 2023-05-15T16:47:43+02:00 Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome Vidarsdottir, H Blondal, S Alfredsson, H Geirsson, A Gudbjartsson, T Department of Surgery, Landspitali University Hospital, Reykjavik, Iceland. 2011-03-30 http://hdl.handle.net/2336/126346 https://doi.org/10.1055/s-0030-1250347 en eng http://dx.doi.org/10.1055/s-0030-1250347 Thorac Cardiovasc Surg. 2010, 58(8):476-80 1439-1902 21110271 doi:10.1055/s-0030-1250347 http://hdl.handle.net/2336/126346 Thoracic and cardiovascular surgeon Adolescent Adult Aged 80 and over Child Preschool Diagnostic Errors Esophageal Perforation Female Hospitals University Humans Iatrogenic Disease Iceland Incidence Infant Kaplan-Meier Estimate Length of Stay Male Middle Aged Postoperative Complications Retrospective Studies Risk Factors Survival Rate Time Factors Treatment Outcome Young Adult Article 2011 ftlandspitaliuni https://doi.org/10.1055/s-0030-1250347 2022-05-29T08:21:43Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND: Oesophageal perforation is a rare but life-threatening condition with a significant morbidity and mortality. In this retrospective, nationwide study, the results of oesophageal perforation are reported for a well defined cohort, with special emphasis on the incidence, aetiology and results of surgical treatment. MATERIAL AND METHODS: 29 consecutive patients (16 males) were diagnosed with perforation of the oesophagus at Landspitali University Hospital between 1980 and 2007. Patients had a mean age of 61 years (range: 7 months-90 years). Type of surgery, complications and survival were recorded. Average follow-up was 76 months. RESULTS: Age-standardised incidence of oesophageal perforation was 3.1/1,000,000 per year during the study period. Out of 29 patients diagnosed with oesophageal perforation, the diagnosis was missed in 5 cases (17%) and first made at autopsy. Iatrogenic injury was the most frequent cause (52%), followed by spontaneous perforation (24%) and foreign body ingestion (17%). Thoracic perforations were seen in 73% of patients, and 14 patients had an underlying oesophageal disease. Nineteen patients were treated surgically, in 16 cases with drainage of the mediastinum via thoracotomy and insertion of chest tubes. The median time from perforation to surgery was 6.5 h and median length of hospital stay was 15 days (range: 9-83). All surgically treated patients survived surgery, and the 5-year overall survival rate was 69%. CONCLUSION: More than half of all oesophageal injuries in Iceland are caused by a iatrogenic injury. Mortality is significant and is related to a missed diagnosis. Patients treated surgically all survived surgery; however, complications were frequent and their hospital stay was long. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Meier ENVELOPE(-45.900,-45.900,-60.633,-60.633) The Thoracic and Cardiovascular Surgeon 58 08 476 480 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Adolescent Adult Aged 80 and over Child Preschool Diagnostic Errors Esophageal Perforation Female Hospitals University Humans Iatrogenic Disease Iceland Incidence Infant Kaplan-Meier Estimate Length of Stay Male Middle Aged Postoperative Complications Retrospective Studies Risk Factors Survival Rate Time Factors Treatment Outcome Young Adult |
spellingShingle |
Adolescent Adult Aged 80 and over Child Preschool Diagnostic Errors Esophageal Perforation Female Hospitals University Humans Iatrogenic Disease Iceland Incidence Infant Kaplan-Meier Estimate Length of Stay Male Middle Aged Postoperative Complications Retrospective Studies Risk Factors Survival Rate Time Factors Treatment Outcome Young Adult Vidarsdottir, H Blondal, S Alfredsson, H Geirsson, A Gudbjartsson, T Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome |
topic_facet |
Adolescent Adult Aged 80 and over Child Preschool Diagnostic Errors Esophageal Perforation Female Hospitals University Humans Iatrogenic Disease Iceland Incidence Infant Kaplan-Meier Estimate Length of Stay Male Middle Aged Postoperative Complications Retrospective Studies Risk Factors Survival Rate Time Factors Treatment Outcome Young Adult |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND: Oesophageal perforation is a rare but life-threatening condition with a significant morbidity and mortality. In this retrospective, nationwide study, the results of oesophageal perforation are reported for a well defined cohort, with special emphasis on the incidence, aetiology and results of surgical treatment. MATERIAL AND METHODS: 29 consecutive patients (16 males) were diagnosed with perforation of the oesophagus at Landspitali University Hospital between 1980 and 2007. Patients had a mean age of 61 years (range: 7 months-90 years). Type of surgery, complications and survival were recorded. Average follow-up was 76 months. RESULTS: Age-standardised incidence of oesophageal perforation was 3.1/1,000,000 per year during the study period. Out of 29 patients diagnosed with oesophageal perforation, the diagnosis was missed in 5 cases (17%) and first made at autopsy. Iatrogenic injury was the most frequent cause (52%), followed by spontaneous perforation (24%) and foreign body ingestion (17%). Thoracic perforations were seen in 73% of patients, and 14 patients had an underlying oesophageal disease. Nineteen patients were treated surgically, in 16 cases with drainage of the mediastinum via thoracotomy and insertion of chest tubes. The median time from perforation to surgery was 6.5 h and median length of hospital stay was 15 days (range: 9-83). All surgically treated patients survived surgery, and the 5-year overall survival rate was 69%. CONCLUSION: More than half of all oesophageal injuries in Iceland are caused by a iatrogenic injury. Mortality is significant and is related to a missed diagnosis. Patients treated surgically all survived surgery; however, complications were frequent and their hospital stay was long. |
author2 |
Department of Surgery, Landspitali University Hospital, Reykjavik, Iceland. |
format |
Article in Journal/Newspaper |
author |
Vidarsdottir, H Blondal, S Alfredsson, H Geirsson, A Gudbjartsson, T |
author_facet |
Vidarsdottir, H Blondal, S Alfredsson, H Geirsson, A Gudbjartsson, T |
author_sort |
Vidarsdottir, H |
title |
Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome |
title_short |
Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome |
title_full |
Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome |
title_fullStr |
Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome |
title_full_unstemmed |
Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome |
title_sort |
oesophageal perforations in iceland: a whole population study on incidence, aetiology and surgical outcome |
publishDate |
2011 |
url |
http://hdl.handle.net/2336/126346 https://doi.org/10.1055/s-0030-1250347 |
long_lat |
ENVELOPE(-45.900,-45.900,-60.633,-60.633) |
geographic |
Meier |
geographic_facet |
Meier |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1055/s-0030-1250347 Thorac Cardiovasc Surg. 2010, 58(8):476-80 1439-1902 21110271 doi:10.1055/s-0030-1250347 http://hdl.handle.net/2336/126346 Thoracic and cardiovascular surgeon |
op_doi |
https://doi.org/10.1055/s-0030-1250347 |
container_title |
The Thoracic and Cardiovascular Surgeon |
container_volume |
58 |
container_issue |
08 |
container_start_page |
476 |
op_container_end_page |
480 |
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1766037811718258688 |