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Original Articles: General Thoracic

Invited Commentary

Division of Thoracic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, 6 Silverstein, Philadelphia, PA 19104

(Email: john.kucharczuk@uphs.upenn.edu).

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

Despite improvements in surgical technique and critical care, the morbidity and mortality associated with spontaneous esophageal perforation remains high. Traditional treatment plans have focused on five goals to improve outcome: (1) hemodynamically stabilizing the patient, (2) controlling sepsis, (3) stopping mediastinum soilage, (4) maintaining nutrition, and (5) reestablishing esophageal continuity. The surgical options to achieve these goals currently include primary repair with buttress, esophageal . . . [Full Text of this Article]

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