RT Book, Section
A1 Blasberg, Justin D.
A1 Wright, Cameron D.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170408417
T1 Management of Esophageal Perforation
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170408417
RD 2024/04/24
AB Esophageal  perforation  is  a  challenging  clinical  condition  that  requires  prompt  diagnosis  and  management.  Delay  in  identification  and/or  treatment  results  in  high  rates  of  morbidity  and  mortality.  There  are  sharp  differences  in  etiology,  presentation,  treatment,  and  outcome  of  cervical  versus  thoracic  perforation  of  the  esophagus.  Most  cervical  perforations  respond  well  to  simple  drainage  alone.  Although  the  treatment  of  thoracic  esophageal  perforations  is  individualized,  most  patients  are  candidates  for  primary  repair  regardless  of  the  time  to  presentation  or  intervention.  Improvements  in  endoscopic  stent  technology  and  increased  experience  with  placement  support  this  modality  as  a  viable  treatment  option  in  cases  of  benign,  malignant,  and  iatrogenic  esophageal  perforation.