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Related Experiment Videos

Esophageal perforation: emphasis on management

B L Bufkin1, J I Miller, K A Mansour

  • 1Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

The Annals of Thoracic Surgery
|May 1, 1996
PubMed
Summary

Esophageal perforation is a severe injury requiring expert care. This study found a 76% survival rate using aggressive operative therapy, with conservative options for contained perforations.

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Area of Science:

  • Thoracic surgery
  • Gastroenterology
  • Emergency medicine

Background:

  • Esophageal perforation is a life-threatening condition demanding specialized management.
  • Timely and appropriate treatment is critical for patient survival.

Purpose of the Study:

  • To review the management and outcomes of esophageal perforation.
  • To identify factors influencing survival in patients with esophageal perforation.

Main Methods:

  • Retrospective clinical review of 66 patients treated between 1973 and 1993.
  • Analysis of injury causes, locations, management strategies, and survival rates.

Main Results:

  • Iatrogenic causes were most common (73%), followed by barogenic (17%) and trauma (5%).

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  • Lower-third perforations were most frequent (65%).
  • Overall survival rate was 76%, with higher mortality in patients with perforations complicating esophageal varices management (83%).

    • Conclusions:

    • Esophageal perforation is a significant thoracic emergency requiring aggressive operative therapy.
    • Conservative management is suitable for contained perforations.
    • The esophageal T tube can be beneficial for late perforations.