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Ann Thorac Surg 1975;19:216-230
© 1975 The Society of Thoracic Surgeons


Articles

Esophageal Injury

Reinold J. Jones, M.D.*, Paul C. Samson, M.D.

From the Division of Cardiothoracic Surgery, Mary's Help and St. Mary's Hospitals, the University of California, San Francisco, School of Medicine, San Francisco, and the Division of Thoracic and Cardiac Surgery, Highland General Hospital, Oakland, Calif.

* Address reprint requests to Dr. Jones, 2645 Ocean Ave., San Francisco, Calif. 94132.

The medicolegal literature contains a number of references to esophageal injury. Certain excerpts dealing with several types of potential actions are extracted: (1) suits to recover damages for esophageal perforation in which negligent endoscopy was claimed; (2) suits following endoscopic accidents in which lack of informed consent was claimed; and (3) suits for professional liability based on misdiagnosis, delayed diagnosis, or wrong treatment of esophageal perforation.

This review considers all possible modes of esophageal injury, based on a schema originally published in 1954 and more recently modified in 1970. For each category of injury there are detailed discussions of diagnosis and treatment. The best available knowledge of present-day modalities has been based on a survey of the literature for the past decade. When diverse methods of treatment were encountered, we have made comments consistent with our personal experience, when appropriate.




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