What is instrumental esophageal injury?

summary

Instrumental esophageal injury refers to the iatrogenic injury of the esophagus. The perforation of instrumental esophageal injury accounts for a large part of esophageal perforation in clinic. Endoscopic examination, esophageal dilation and esophageal catheterization can lead to perforation due to careless operation or primary esophageal lesions. What is instrumental esophageal injury? Next, I'd like to share my views with you.

What is instrumental esophageal injury?

After esophagoscopy, the patient suffered from swallowing pain, neck tenderness and subcutaneous emphysema. The application of balloon dilation in achalasia can cause perforation of the distal part of the esophagus. After dilation, there are signs of infection such as retrosternal or back pain or elevated body temperature. In severe cases, cyanosis, shock and death may occur.

X-ray examination showed that there was emphysema between the fascia on the lateral film of the neck. The retropharyngeal space widened and normal cervical curvature disappeared. Chest X-ray film of thoracic esophageal rupture showed widened mediastinal shadow, emphysema and pleural effusion on the affected side.

X-ray or CT examination of neck or chest can be used. X-ray contrast esophagography is helpful in the diagnosis of most cases, but negative contrast cannot completely exclude perforation. Acute abdominal pain due to other causes, such as intramural aneurysm, myocardial infarction or pulmonary embolism, should be differentiated.

matters needing attention

Eating foods rich in collagen and elastin, such as pig's hoof, pigskin, tendons, fish, beans, seafood and so on, is conducive to the repair of damaged parts of chronic pharyngitis. More intake of foods rich in B vitamins, such as animal liver, lean meat, fish, fresh fruits, green vegetables, milk, beans, etc., is conducive to promoting the repair of injured pharynx and eliminating inflammation of respiratory tract mucosa.