OC-075 Management and outcomes of oesophageal perforation: a national study of 2564 patients in england

Influence of national centralization of oesophagogastric cancer on management and clinical outcome from emergency upper gastrointestinal conditions

“…During the period of centralization of surgical management of oesophagogastric cancer in England, this study has shown the passive centralization of emergency management of OP, POH and PPU to high-volume cancer centres, despite no formal policy. The authors have previously demonstrated a volume-outcome relationship for OP in England 14 . This parallels the results of the present study, with an annual OP admission volume threshold of five patients seen to influence mortality significantly, and the percentage of patients managed within high-volume cancer centres treating five or more patients with OP per year increasing from 38⋅7 to 88⋅0 per cent following centralization.…”

Vertebral body infection due to esophageal perforation caused by ingestion of fishbone: a case report

“…EP is a high-mortality condition, but early diagnosis and treatment can improve the prognosis. 5 The essential attribute of the diagnostic approach to esophageal rupture is the maintenance of a high index of suspicion. 6 Any patient who presents with fever or back pain weeks or even months after odynophagia should be aggressively evaluated, to rule out perforation of the esophagus.…”

Population-based cohort study of surgical myotomy and pneumatic dilatation as primary interventions for oesophageal achalasia

“…Patients are given a unique HES identifier that allows all of their hospital admissions to be tracked throughout the entire data set. HES data are a well validated data set and have been used in several previous publications concerning upper gastrointestinal conditions. Permissions for the comparison of anonymized administrative data were obtained from the National Information Governance Board for Health and Social Care in England.…”