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Ann Thorac Surg 2006;81:472-473
© 2006 The Society of Thoracic Surgeons

Original article: General thoracic

Invited commentary

Jonathan C. Nesbitt, MD

St. Thomas Medical Building, Cardiovascular Surgery Associates, PC, Suite 501, 4230 Harding Rd, Nashville, TN 37205

(Email: jcnesbitt@msn.com).

The first 20% of the full text of this article appears below.

Although several treatment methodologies have been used to manage esophageal perforations, there is no absolute standard of care. Surgical intervention has been the traditional and most popular management approach. It is well known that early intervention provides the best outcome. Mortality for patients with iatrogenic or spontaneous perforations ranges from 0% to 11%. Delays in treatment are associated with heightened complications and with mortality that can exceed 50%. Leak rates after surgical repair are common, ranging from 0% to more than 50% . . . [Full Text of this Article]




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