ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Sunil Singhal
Larry R. Kaiser
John C. Kucharczuk
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Brinster, C. J.
Right arrow Articles by Kucharczuk, J. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brinster, C. J.
Right arrow Articles by Kucharczuk, J. C.
Related Collections
Right arrow Esophagus - other

Ann Thorac Surg 2004;77:1475-1483
© 2004 The Society of Thoracic Surgeons

Review

Evolving options in the management of esophageal perforation

Clayton J. Brinster, BAa, Sunil Singhal, MDa, Lawrence Lee, BSa, M. Blair Marshall, MDa, Larry R. Kaiser, MDa, John C. Kucharczuk, MDa*

a Department of Surgery, Division of Cardiothoracic Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA

* Address reprint requests to Dr Kucharczuk, Department of Surgery, Thoracic Surgery Section, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104-4227, USA.
e-mail: john.kucharczuk{at}uphs.upenn.edu

Esophageal perforation remains a devastating event that is difficult to diagnose and manage. The majority of injuries are iatrogenic and the increasing use of endoscopic procedures can be expected to lead to an even higher incidence of esophageal perforation in coming years. Accurate diagnosis and effective treatment depend on early recognition of clinical features and accurate interpretation of diagnostic imaging. Outcome is determined by the cause and location of the injury, the presence of concomitant esophageal disease, and the interval between perforation and initiation of therapy. The overall mortality associated with esophageal perforation can approach 20%, and delay in treatment of more than 24 hours after perforation can result in a doubling of mortality. Surgical primary repair, with or without reinforcement, is the most successful treatment option in the management of esophageal perforation and reduces mortality by 50% to 70% compared with other interventional therapies.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
N. Kotzampassakis, M. Christodoulou, T. Krueger, N. Demartines, H. Vuillemier, C. Cheng, G. Dorta, and H.-B. Ris
Esophageal leaks repaired by a muscle onlay approach in the presence of mediastinal sepsis.
Ann. Thorac. Surg., September 1, 2009; 88(3): 966 - 972.
[Abstract] [Full Text] [PDF]

Home page
 BMJ Case ReportsHome page
R. Tavares, A. Taghi, R. Hewitt, and M. Bentley
Barotraumatic perforation of the pharyngo-oesophagus secondary to a Lambrini "bottle explosion"
BMJ Case Reports, August 18, 2009; 2009(aug18_1): bcr0720092097 - bcr0720092097.
[Abstract] [Full Text]

Home page
 BMJHome page
M. Bhattacharyya and M. Dattani
An unusual cause of chest pain
BMJ, August 12, 2009; 339(aug12_2): b3004 - b3004.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
S. Bazerbashi, J. Villaquiran, M. Bennett, M. J. Unsworth-White, and J. Rahamim
Stented Esophageal Transfixion Injury
Ann. Thorac. Surg., October 1, 2008; 86(4): 1367 - 1369.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
H.-C. Wu, J.-Y. Hsia, and C.-P. Hsu
Esophageal laceration with intramural dissection mimics esophageal perforation
Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 864 - 865.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. W. Kim, M. J. Liptay, N. Snow, P. Donahue, and W. H. Warren
Utility of Silicone Esophageal Bypass Stents in the Management of Delayed Complex Esophageal Disruptions
Ann. Thorac. Surg., June 1, 2008; 85(6): 1962 - 1967.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. G. Berrisford, R. Krishnadas, P. O. Froeschle, and S. Wajed
Transgastric drainage of the oesophagus: managing difficult oesophageal injuries
Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 742 - 744.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. K. Freeman, J. M. Van Woerkom, and A. J. Ascioti
Esophageal Stent Placement for the Treatment of Iatrogenic Intrathoracic Esophageal Perforation
Ann. Thorac. Surg., June 1, 2007; 83(6): 2003 - 2008.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. A. Linden, R. Bueno, S. J. Mentzer, L. Zellos, A. Lebenthal, Y. L. Colson, D. J. Sugarbaker, and M. T. Jaklitsch
Modified T-Tube Repair of Delayed Esophageal Perforation Results in a Low Mortality Rate Similar to That Seen With Acute Perforations
Ann. Thorac. Surg., March 1, 2007; 83(3): 1129 - 1133.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. Metz, A. N. Kimmings, H. J.M. Verhagen, I. H. M. B. Rinkes, and R. van Hillegersberg
Aortoesophageal fistula successfully treated by endovascular stent-graft.
Ann. Thorac. Surg., September 1, 2006; 82(3): 1117 - 1119.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2004 by The Society of Thoracic Surgeons.