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Esophageal perforation management: a single-center experience.
Sedat Çarkıt1, Funda İpekten2, Mustafa Karaağaç1
1Department of General Surgery, Erciyes University Faculty of Medicine, Kayseri-Türkiye.
Summary
Esophageal perforation is a severe condition requiring prompt diagnosis and risk stratification. Factors like delayed diagnosis and elevated WBC impact mortality, highlighting the need for tailored management strategies.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Emergency Medicine
Background:
- Esophageal perforation involves a tear in the esophagus, a rare but life-threatening condition.
- It can lead to severe infections in surrounding tissues like the mediastinum and peritoneum.
Purpose of the Study:
- To analyze patient data and outcomes for esophageal rupture.
- To identify factors influencing mortality and intensive care unit (ICU) stay.
Main Methods:
- Retrospective study of 18 esophageal rupture cases (2014-2022).
- Collected data on patient demographics, etiology, diagnosis, treatment, and complications.
- Calculated Pittsburgh Severity Score (PSS) for risk stratification.
Main Results:
- Male predominance (72.2%), mean age 46.33 years. Common causes: foreign body (50%), iatrogenic (22.2%), trauma (27.8%).
- Higher mortality linked to elevated white blood cell count (WBC), delayed diagnosis, and contrast leakage.
- CT findings and complications (abscesses, mediastinitis) significantly affected ICU stay.
Conclusions:
- Esophageal perforation presents significant morbidity and mortality challenges.
- Rapid diagnosis and risk stratification (e.g., PSS) are crucial for optimizing outcomes.
- Tailored management strategies are essential for improving patient prognosis.
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