Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours
<p>Abstract</p> <p>Esophageal perforation is a rare and potentially life-threatening condition. Early clinical suspicion and imaging is important for case management to achieve a good outcome. However, recent studies continue to report high morbidity and mortality greater than 20%...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-10-01
|
| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sjtrem.com/content/19/1/66 |
| _version_ | 1818527493885263872 |
|---|---|
| author | Søreide Jon Viste Asgaut |
| author_facet | Søreide Jon Viste Asgaut |
| author_sort | Søreide Jon |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Esophageal perforation is a rare and potentially life-threatening condition. Early clinical suspicion and imaging is important for case management to achieve a good outcome. However, recent studies continue to report high morbidity and mortality greater than 20% from esophageal perforation. At least half of the perforations are iatrogenic, mostly related to endoscopic instrumentation used in the upper gastrointestinal tract, while about a third are spontaneous perforations. Surgical treatment remains an important option for many patients, but a non-operative approach, with or without use of an endoscopic stent or placement of internal or external drains, should be considered when the clinical situation allows for a less invasive approach. The rarity of this emergency makes it difficult for a physician to obtain extensive individual clinical experience; it is also challenging to obtain firm scientific evidence that informs patient management and clinical decision-making. Improved attention to non-specific symptoms and signs and early diagnosis based on imaging may translate into better outcomes for this group of patients, many of whom are elderly with significant comorbidity.</p> |
| first_indexed | 2024-12-11T06:36:49Z |
| format | Article |
| id | doaj.art-8330bc1d55c5491eab21e2f40db2e955 |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-12-11T06:36:49Z |
| publishDate | 2011-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-8330bc1d55c5491eab21e2f40db2e9552022-12-22T01:17:21ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412011-10-011916610.1186/1757-7241-19-66Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hoursSøreide JonViste Asgaut<p>Abstract</p> <p>Esophageal perforation is a rare and potentially life-threatening condition. Early clinical suspicion and imaging is important for case management to achieve a good outcome. However, recent studies continue to report high morbidity and mortality greater than 20% from esophageal perforation. At least half of the perforations are iatrogenic, mostly related to endoscopic instrumentation used in the upper gastrointestinal tract, while about a third are spontaneous perforations. Surgical treatment remains an important option for many patients, but a non-operative approach, with or without use of an endoscopic stent or placement of internal or external drains, should be considered when the clinical situation allows for a less invasive approach. The rarity of this emergency makes it difficult for a physician to obtain extensive individual clinical experience; it is also challenging to obtain firm scientific evidence that informs patient management and clinical decision-making. Improved attention to non-specific symptoms and signs and early diagnosis based on imaging may translate into better outcomes for this group of patients, many of whom are elderly with significant comorbidity.</p>http://www.sjtrem.com/content/19/1/66Esophagusperforationearly diagnosissurgerynon-surgical managementendoscopy |
| spellingShingle | Søreide Jon Viste Asgaut Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Esophagus perforation early diagnosis surgery non-surgical management endoscopy |
| title | Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours |
| title_full | Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours |
| title_fullStr | Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours |
| title_full_unstemmed | Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours |
| title_short | Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours |
| title_sort | esophageal perforation diagnostic work up and clinical decision making in the first 24 hours |
| topic | Esophagus perforation early diagnosis surgery non-surgical management endoscopy |
| url | http://www.sjtrem.com/content/19/1/66 |
| work_keys_str_mv | AT søreidejon esophagealperforationdiagnosticworkupandclinicaldecisionmakinginthefirst24hours AT visteasgaut esophagealperforationdiagnosticworkupandclinicaldecisionmakinginthefirst24hours |