Advances in the management of esophageal perforation |
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Authors: | Carrott Philip W Low Donald E |
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Affiliation: | aDepartment of Surgery, Virginia Mason Medical Center, 1100 Ninth Avenue, C6-GS, Seattle, WA 98111, USA;bThoracic Oncology and Thoracic Surgery, Department of Surgery, Virginia Mason Medical Center, 1100 Ninth Avenue, C6-GS, Seattle, WA 98111, USA;cUniversity of Washington School of Medicine, Seattle, WA, USA |
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Abstract: | Therapy for acute esophageal perforation in the last decade has benefited from newer technology in endoscopy and imaging. Success with nonoperative therapies such as endoluminal stenting and clipping has improved outcomes and shortened length of stay in selected patients. Iatrogenic injury currently comprises most acute esophageal perforation, and nonoperative therapy may be appropriate in a significant percentage of patients. The decision regarding operative vs non-operative therapy is best done by a dedicated surgical team with experience in all the surgical and endoscopic treatment options. Boerhaave syndrome occurs less often and may be treated with endoscopic therapy, although it more likely requires operative intervention. This article reviews current advances in the diagnosis and management of acute esophageal perforation. |
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Keywords: | Esophageal perforation Boerhaave syndrome Stent Endoscopy |
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