Esophageal Perforation

Outcomes after oesophageal perforation: a retrospective cohort study of patients with different aetiologies

“…Surgery remains the mainstay of treatment; the conventional operative approach is considered to be primary repair of the perforation site and drainage. [7][8][9] Some surgeons advocate primary repair only for those patients presented within 24 hours of perforation, 10 while others would try primary repair as the initial treatment regardless of the timing of presentation. 9,11 Endoscopic treatment, including stenting, is becoming an increasingly popular means of treating oesophageal perforation in selected patients, and reportedly has a high technical success rate.…”

Fracture of the thoracic spine with paralysis and esophageal perforation

“…The symptoms of esophageal perforation are non-specific, or they may be absent [7]. As this injury is nearly always encountered in association with other injuries, it can be very difficult to diagnose.…”

“…If the patient is healthy and has no pre-existent esophageal disorders and the lesion is diagnosed at an early stage, primary closure of the defect is the treatment of choice [7].…”

Esophageal Perforation Associated with Profound Shock Successfully Managed with Hemodynamic Assistance Using Percutaneous Cardiopulmonary Support.

“…In addition to early treatment, other factors associated with a favorable outcome included traumatic perforation ( 100% survival), foreign-body perforations (94% survival), and iatrogenic causes (80%survival). Spontaneousrupture was associated with the lowest survival (37%) (7)(8)(9). Patients with esophageal perforation frequently present with an antecedent history of vomiting followed by chest pain.…”