Adult esophagus is ∼25–30 cm in length in close proximity to mediastinum with access to pleural space.
It begins at hypopharynx posterior to larynx at level of cricoid cartilage.
Dysphagia: Difficulty swallowing
Odynophagia: Pain with swallowing
Chest pain: Angina like, often pleuritic, severe, and unrelenting
Tears or perforati...
Chest pain should be presumed cardiac.
Airway protection, frequent suctioning
Intravenous crystalloid if patient is hypotensive, vomiting, or if hematemesis is present
Sharp foreign bodies
Penetrating neck or chest trauma
Evidence of sepsis, mediastinitis, or esophageal perforation
Time to diagnosis and definitive therapy: 24 hr decreases mortality by half.
Location of injury: Cervical less than thoracic or a...
Abbas G, Schuchert MJ, Pettiford BL, et al. Contemporaneous management of esophageal perforation. Surgery. 2009;146(4):749–755.
Gander JW, Berdon WE, Cowles RA. Iatrogeni...
862.22 Injury to esophagus without mention of open wound into cavity
862.32 Injury to esophagus with open wound into cavity
935.1 Foreign body in esophagus
947.2 Burn of esophagus
Sign up for a 10-day FREE Trial now and receive full access to all content.