| dc.contributor.author | Wachira, J.N | |
| dc.contributor.author | Mwaniki, D.L | |
| dc.contributor.author | Odhiambo, P.A | |
| dc.date.accessioned | 2013-04-27T09:37:06Z | |
| dc.date.available | 2013-04-27T09:37:06Z | |
| dc.date.issued | 1990 | |
| dc.identifier.citation | East Afr Med J. 1990 Oct;67(10):712-6 | en |
| dc.identifier.uri | http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/2282893 | |
| dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/17320 | |
| dc.description.abstract | A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested. | en |
| dc.language.iso | en | en |
| dc.title | Incidence and pattern of oesophageal perforations in Kenyatta National Hospital. | en |
| dc.type | Article | en |
| local.publisher | Department of Surgery, College of Health Sciences, Nairobi. | en |
