BACKGROUND: Recognition of the importance of early diagnosis and aggressive, definitive surgical intervention has brought about a dramatic decline in mortality related to distal esophageal perforation. METHODS: We retrospectively analyzed all cases of thoracic esophageal perforation diagnosed at our hospital from September 1, 1979, through April 1, 2001. The study group consisted of 62 patients (43 men) with a mean age of 58.8 years (range, 20-92 yr). RESULTS: In the group of 39 patients with early diagnosis (< or = 24 h), hospital survival was 87%, which increased to 93% when early diagnosis was combined with aggressive surgical treatment Among the 23 patients with late diagnosis (> 24 h), survival approached 70%. Yet, in patients who were treated aggressively with surgery, survival was almost 90% despite delayed diagnosis. CONCLUSION: We recommend aggressive, definitive surgery for thoracic esophageal perforations, whether diagnosed early or late. A variety of options are discussed with regard to complicated presentations.
BACKGROUND: Recognition of the importance of early diagnosis and aggressive, definitive surgical intervention has brought about a dramatic decline in mortality related to distal esophageal perforation. METHODS: We retrospectively analyzed all cases of thoracic esophageal perforation diagnosed at our hospital from September 1, 1979, through April 1, 2001. The study group consisted of 62 patients (43 men) with a mean age of 58.8 years (range, 20-92 yr). RESULTS: In the group of 39 patients with early diagnosis (< or = 24 h), hospital survival was 87%, which increased to 93% when early diagnosis was combined with aggressive surgical treatment Among the 23 patients with late diagnosis (> 24 h), survival approached 70%. Yet, in patients who were treated aggressively with surgery, survival was almost 90% despite delayed diagnosis. CONCLUSION: We recommend aggressive, definitive surgery for thoracic esophageal perforations, whether diagnosed early or late. A variety of options are discussed with regard to complicated presentations.
Authors: Vasileios Charalampakis; Victor Roth Cardoso; Rajwinder Nijjar; Rishi Singhal; Alistair Sharples; Maha Khalid; Luke Dickerson; Tom Wiggins; Georgios V Gkoutos; Olga Tucker; Paul Super; Martin Richardson Journal: Surg Endosc Date: 2022-10-07 Impact factor: 3.453
Authors: Andrej Udelnow; Markus Huber-Lang; Markus Juchems; Karl Träger; Doris Henne-Bruns; Peter Würl Journal: World J Surg Date: 2009-04 Impact factor: 3.352
Authors: Tatiana Suarez-Poveda; Carlos H Morales-Uribe; Alvaro Sanabria; Adriana Llano-Sánchez; Andrés Mauricio Valencia-Delgado; Luis Fernando Rivera-Velázquez; John Fernando Bedoya-Ospina Journal: Emerg Radiol Date: 2014-04-20
Authors: Mehmet Zafer Sabuncuoglu; Mehmet Fatih Benzin; Ozgur Dandin; Tugrul Cakir; Isa Sozen; Aylin Sabuncuoglu; Uygar Teomete Journal: Int J Surg Case Rep Date: 2014-12-08