Luis Hernandez-Higareda
Hospital Angeles del Pedregal, Mexico
Title: Therapeutic endoscopy in trauma
Biography
Biography: Luis Hernandez-Higareda
Abstract
Introduction: Therapeutic endoscopy has helped prevent many surgical procedures with the idea of minimally invasive surgery. It has demonstrated effectiveness in the bile duct and endoscopic ultrasound among others.
Objective: The problem of serious trauma patient is that they are usually treated at trauma hospitals where there is no such resource. On the other hand, where endoscopy is performed at high-level, no experience in the management of severe trauma patients does not warrant a quick response.
Materials & Methods: We present among others, a series of trauma cases, each distinct in the problem and all managed successfully with endoscopy, avoiding major surgical procedures. We present the experience of some cases in a 1st level trauma center hospital divided into four groups, which underwent gastro esophageal endoscopy (12 procedures), sigmoidoscopy (3), bronchoscopy (4) and endoscopy into gastrostomy (2). Among them, the cases were: A young patient with bleeding from diverticular disease, another patient with gastrostomy retrograde endoscopy, another one with intestinal perforations, one with failure to pass the tracheostomy tube (because of an anatomical variant modified by trauma), one with pyloric obstruction and reflux, and one with neck surgery fixing that did not allow the passage of nasoenteral tube without endoscopic aid.
Results: All cases were resolved with the help of the endoscope.
Conclusion: Therapeutic endoscopy in trauma should be part of the armamentarium of the hospitals where trauma patients are cared.