esophageal perforation

Summary

Summary: An opening or hole in the ESOPHAGUS that is caused by TRAUMA, injury, or pathological process.

Top Publications

  1. Johnsson E, Lundell L, Liedman B. Sealing of esophageal perforation or ruptures with expandable metallic stents: a prospective controlled study on treatment efficacy and limitations. Dis Esophagus. 2005;18:262-6 pubmed
    ..Leakage from a damage esophagus can be effectively covered by expandable metallic stents seemingly regardless of the underlying cause and is likely to offer a good chance of survival even in severely ill patients. ..
  2. Tuebergen D, Rijcken E, Mennigen R, Hopkins A, Senninger N, Bruewer M. Treatment of thoracic esophageal anastomotic leaks and esophageal perforations with endoluminal stents: efficacy and current limitations. J Gastrointest Surg. 2008;12:1168-76 pubmed publisher
    Intra-thoracic esophageal leakage after esophageal resection or esophageal perforation is a life-threatening event...
  3. Sepesi B, Raymond D, Peters J. Esophageal perforation: surgical, endoscopic and medical management strategies. Curr Opin Gastroenterol. 2010;26:379-83 pubmed publisher
    The purpose of this article is to review current therapeutic strategies and outcomes in the management of esophageal perforation. The relative rarity and unpredictability of esophageal perforation has precluded a randomized or ..
  4. Gander J, Berdon W, Cowles R. Iatrogenic esophageal perforation in children. Pediatr Surg Int. 2009;25:395-401 pubmed publisher
    b>Esophageal perforation is most commonly iatrogenic in origin with nasogastric tube insertion, stricture dilation, and endotracheal intubation, being the most frequent sources of the injury in infants and children...
  5. Sajith A, O Donohue B, Roth R, Khan R. CT scan findings in oesophagogastric perforation after out of hospital cardiopulmonary resuscitation. Emerg Med J. 2008;25:115-6 pubmed publisher
    ..CT scanning was helpful in making the diagnosis. In out of hospital resuscitation, current JRCALC (Joint Royal Colleges Ambulance Liaison Committee) recommendations may not avoid this complication. ..
  6. Bhatia P, Fortin D, Inculet R, Malthaner R. Current concepts in the management of esophageal perforations: a twenty-seven year Canadian experience. Ann Thorac Surg. 2011;92:209-15 pubmed publisher
    ..Perforation of the esophagus remains a challenging clinical problem...
  7. Tihan D, Trabulus D, Altunkaya A, Karaca S, Cihan A, Alis H. Esophageal perforation due to inadvertent swallowing of a dental prosthesis. Turk J Gastroenterol. 2011;22:529-33 pubmed
    ..Thus, the aim of this report was to present one of these interesting cases of esophageal perforation due to a partial denture ingestion and its treatment in a 32-year-old male.
  8. Cho J, Kim Y, I H, Lee S, Jeong Y. Treatment of mediastinitis using video-assisted thoracoscopic surgery. Eur J Cardiothorac Surg. 2008;34:520-4 pubmed publisher
    ..Several authors have recommended that aggressive surgical approaches for mediastinitis are more effective than simple surgical approaches; however the best surgical option for mediastinitis remains controversial...
  9. Lee D, Kim N, Hwang C, Lee C, Kim Y, Shin M, et al. Neglected esophageal perforation after upper thoracic vertebral fracture. Spine J. 2011;11:1146-51 pubmed publisher
    b>Esophageal perforation associated with thoracic fracture is extremely rare. If not diagnosed at an early stage, it can lead to life-threatening complications, such as mediastinitis and sepsis...

More Information

Publications62

  1. Hermansson M, Johansson J, Gudbjartsson T, Hambreus G, Jonsson P, Lillo Gil R, et al. Esophageal perforation in South of Sweden: results of surgical treatment in 125 consecutive patients. BMC Surg. 2010;10:31 pubmed publisher
    For many years there has been a debate as to which is the method of choice in treating patients with esophageal perforation. The literature consists mainly of small case series...
  2. Qadeer M, Dumot J, Vargo J, Lopez A, Rice T. Endoscopic clips for closing esophageal perforations: case report and pooled analysis. Gastrointest Endosc. 2007;66:605-11 pubmed
    ..by a MEDLINE search (1966 to January 2007) performed for all the English language articles that reported esophageal perforation/fistulae and endoscopic clips...
  3. Shaker H, Elsayed H, Whittle I, Hussein S, Shackcloth M. The influence of the 'golden 24-h rule' on the prognosis of oesophageal perforation in the modern era. Eur J Cardiothorac Surg. 2010;38:216-22 pubmed publisher
    ..We reiterate the importance of critical care support, particularly in the early stages of management. For early detection, the primary and secondary care sectors need to be better educated. ..
  4. Kau R, Kim N, Hinni M, Patel N. Repair of esophageal perforation due to anterior cervical spine instrumentation. Laryngoscope. 2010;120:739-42 pubmed publisher
    The complication of esophageal perforation after anterior cervical spine fusion for cervical spine disease is rare but potentially fatal. We describe two cases of esophageal perforation found by esophagoscopic visualization...
  5. Abbas G, Schuchert M, Pettiford B, Pennathur A, Landreneau J, Landreneau J, et al. Contemporaneous management of esophageal perforation. Surgery. 2009;146:749-55; discussion 755-6 pubmed publisher
    b>Esophageal perforation is an important therapeutic challenge. We hypothesized that patients with minimal mediastinal contamination at the time of diagnosis could be managed successfully with nonoperative treatment modalities...
  6. Zhou J, Gong T, Jiang Y, Wang R, Zhao Y, Tan Q, et al. Management of delayed intrathoracic esophageal perforation with modified intraluminal esophageal stent. Dis Esophagus. 2009;22:434-8 pubmed publisher
    In this article, we reviewed our experience of treatment of the delayed intrathoracic nonmalignant esophageal perforation employing modified intraluminal esophageal stent...
  7. Bresadola V, Terrosu G, Favero A, Cattin F, Cherchi V, Adani G, et al. Treatment of perforation in the healthy esophagus: analysis of 12 cases. Langenbecks Arch Surg. 2008;393:135-40 pubmed
    ..We reviewed the records of patients treated for esophageal perforation in the last decade at the General Surgery Unit of the University of Udine...
  8. Sinha R. Naclerio's V sign. Radiology. 2007;245:296-7 pubmed
  9. Eroglu A, Turkyilmaz A, Aydin Y, Yekeler E, Karaoglanoglu N. Current management of esophageal perforation: 20 years experience. Dis Esophagus. 2009;22:374-80 pubmed publisher
    ..We performed a retrospective clinical review of 44 patients treated for esophageal perforation at our hospital between January 1989 and May 2008...
  10. Wu J, Mattox K, Wall M. Esophageal perforations: new perspectives and treatment paradigms. J Trauma. 2007;63:1173-84 pubmed
    Despite significant advances in modern surgery and intensive care medicine, esophageal perforation continues to present a diagnostic and therapeutic challenge...
  11. Udelnow A, Huber Lang M, Juchems M, Träger K, Henne Bruns D, Wurl P. How to treat esophageal perforations when determinants and predictors of mortality are considered. World J Surg. 2009;33:787-96 pubmed publisher
    Published lethality rates of esophageal perforation (EP) vary depending on patient- and disease-related factors. This study was designed to evaluate how these factors impact death...
  12. Amudhan A, Rajendran S, Raj V, Rajarathinam G, Jyotibasu D, Ravichandran P, et al. Management of esophageal perforation: experience from a tertiary center in India. Dig Surg. 2009;26:322-8 pubmed publisher
    ..Between 1999 and 2007, 48 patients with esophageal perforation were treated in a tertiary referral center in southern India...
  13. Loske G, Schorsch T, Muller C. Endoscopic vacuum sponge therapy for esophageal defects. Surg Endosc. 2010;24:2531-5 pubmed publisher
    ..sponge therapy for anastomotic insufficiency secondary to esophagectomy or gastrectomy (n = 5), iatrogenic esophageal perforation (n = 2), esophageal wall necrosis (n = 1), Boerhaave's syndrome (n = 1), and perforation of esophageal ..
  14. Neel D, Davis E, Farmer R, Richardson J. Aggressive operative treatment for emetogenic rupture yields superior results. Am Surg. 2010;76:865-8 pubmed
    ..Such treatment preserved esophageal function and was accomplished with relatively low morbidity and mortality. ..
  15. Roan J, Wu M. Esophageal perforation caused by external air-blast injury. J Cardiothorac Surg. 2010;5:130 pubmed publisher
    b>Esophageal perforation after external air-blast trauma is rarely presented in the emergency room. The diagnosis is often delayed more than 24 hours...
  16. Wu H, Hsia J, Hsu C. Esophageal laceration with intramural dissection mimics esophageal perforation. Interact Cardiovasc Thorac Surg. 2008;7:864-5 pubmed publisher
    ..It is difficult to differentiate from esophageal perforation at presentation time...
  17. Merchea A, Cullinane D, Sawyer M, Iqbal C, Baron T, Wigle D, et al. Esophagogastroduodenoscopy-associated gastrointestinal perforations: a single-center experience. Surgery. 2010;148:876-80; discussion 881-2 pubmed publisher
    ..Our aim was to define the risk of perforation associated with EGD and identify patients who required operative intervention...
  18. Garey C, Laituri C, Kaye A, Ostlie D, Snyder C, Holcomb G, et al. Esophageal perforation in children: a review of one institution's experience. J Surg Res. 2010;164:13-7 pubmed publisher
    The current approach to esophageal perforation treatment in children has shifted towards conservative management...
  19. Ozer M, Demirbas S, Harlak A, Ersoz N, Eryilmaz M, Cetiner S. A rare complication after thyroidectomy: perforation of the oesophagus: a case report. Acta Chir Belg. 2009;109:527-30 pubmed
    ..This well-documented case is discussed in conjunction with the information presented in the literature. ..
  20. Khan A, Strauss D, Mason R. Boerhaave's syndrome: diagnosis and surgical management. Surgeon. 2007;5:39-44 pubmed
    ..Increasingly, this strategy is being adopted for patients who present later with similar mortality rates. Diversion with exclusion and resectional procedures may be undertaken when repair is not possible. ..
  21. Onat S, Ulku R, Cigdem K, Avci A, Ozcelik C. Factors affecting the outcome of surgically treated non-iatrogenic traumatic cervical esophageal perforation: 28 years experience at a single center. J Cardiothorac Surg. 2010;5:46 pubmed publisher
    ..In total, 30 patients treated surgically between 1980 and 2008 for non-iatrogenic traumatic cervical esophageal perforation in our clinic were reviewed. There were 25 male and 5 female patients with a median age of 27.5 years...
  22. van Heel N, Haringsma J, Spaander M, Bruno M, Kuipers E. Short-term esophageal stenting in the management of benign perforations. Am J Gastroenterol. 2010;105:1515-20 pubmed publisher
    ..In patients with a benign esophageal perforation, temporary stent therapy is effective and provides a good alternative to surgery...
  23. Salminen P, Gullichsen R, Laine S. Use of self-expandable metal stents for the treatment of esophageal perforations and anastomotic leaks. Surg Endosc. 2009;23:1526-30 pubmed publisher
    ..This study aimed to evaluate the role of covered SEMS for the management of esophageal perforations and anastomotic leaks...
  24. Qadir I, Zafar H, Khan M, Sharif H. T-tube management of late esophageal perforation. J Pak Med Assoc. 2011;61:418-20 pubmed
    b>Esophageal perforation is a serious condition with a high mortality rate. Management strategy of such a patient depends on the extent of perforation and the time interval between perforation and diagnosis...
  25. Ryom P, Ravn J, Penninga L, Schmidt S, Iversen M, Skov Olsen P, et al. Aetiology, treatment and mortality after oesophageal perforation in Denmark. Dan Med Bull. 2011;58:A4267 pubmed
    ..It is advisable to set up national guidelines for treatment of oesophageal perforation and to centralise treatment. ..
  26. Sánchez Pernaute A, Aguirre E, Talavera P, Valladares L, de la Serna J, Mantilla C, et al. Laparoscopic approach to esophageal perforation secondary to pneumatic dilation for achalasia. Surg Endosc. 2009;23:1106-9 pubmed publisher
    ..Five consecutive patients presenting with distal esophageal perforation after pneumatic dilation for achalasia were included in this study...
  27. Sreedharan L, Lakshmanan P, Shenfine J, Gibson M, Griffin S. Thoracic vertebral osteomyelitis secondary to chronic esophageal perforation. Spine J. 2009;9:e1-5 pubmed publisher
    ..Thoracic osteomyelitis after chronic esophageal perforation has never been described in the literature...
  28. Vallbohmer D, Holscher A, Holscher M, Bludau M, Gutschow C, Stippel D, et al. Options in the management of esophageal perforation: analysis over a 12-year period. Dis Esophagus. 2010;23:185-90 pubmed publisher
    Controversies exist about the management of esophageal perforation in order to eliminate the septic focus...
  29. Vidarsdottir H, Blondal S, Alfredsson H, Geirsson A, Gudbjartsson T. Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome. Thorac Cardiovasc Surg. 2010;58:476-80 pubmed publisher
    ..In this retrospective, nationwide study, the results of oesophageal perforation are reported for a well defined cohort, with special emphasis on the incidence, aetiology and results of surgical treatment...
  30. Young C, Menias C, Bhalla S, Prasad S. CT features of esophageal emergencies. Radiographics. 2008;28:1541-53 pubmed publisher
    ..An awareness of the CT findings associated with the spectrum of acute esophageal disease facilitates the accurate and prompt diagnosis of esophageal emergencies and thereby contributes to a more successful outcome. ..
  31. Freeman R, Van Woerkom J, Ascioti A. Esophageal stent placement for the treatment of iatrogenic intrathoracic esophageal perforation. Ann Thorac Surg. 2007;83:2003-7; discussion 2007-8 pubmed
    Iatrogenic esophageal perforation after endoscopy or surgery can be a devastating event. Traditional therapy has most often consisted of operative repair of the esophagus...
  32. Freeman R, Van Woerkom J, Vyverberg A, Ascioti A. Esophageal stent placement for the treatment of spontaneous esophageal perforations. Ann Thorac Surg. 2009;88:194-8 pubmed publisher
    Traditional therapy for spontaneous esophageal perforation has most often been urgent operative repair. This investigation summarizes the treatment of spontaneous perforations of the esophagus using an occlusive removable esophageal stent...
  33. Leers J, Vivaldi C, Schafer H, Bludau M, Brabender J, Lurje G, et al. Endoscopic therapy for esophageal perforation or anastomotic leak with a self-expandable metallic stent. Surg Endosc. 2009;23:2258-62 pubmed publisher
    ..Therapeutic options are surgical repair or resection or conservative management with cessation of oral intake and antibiotic therapy. We evaluated an alternative approach that uses self-expandable metallic stents (SEMS)...
  34. Rueth N, Shaw D, Groth S, Stranberg S, D Cunha J, Sembrano J, et al. Management of cervical esophageal injury after spinal surgery. Ann Thorac Surg. 2010;90:1128-33 pubmed publisher
    Esophageal injury is a rare but catastrophic complication of anterior cervical spine surgery. Cases of esophageal perforation may be discovered intraoperatively, or as late as 10 years after surgery...
  35. Amir A, van Dullemen H, Plukker J. Selective approach in the treatment of esophageal perforations. Scand J Gastroenterol. 2004;39:418-22 pubmed
    Treatment of esophageal perforation remains controversial and recommendations vary from initially non-operative to aggressive surgical management...
  36. Henderson J, Péloquin A. Boerhaave revisited: spontaneous esophageal perforation as a diagnostic masquerader. Am J Med. 1989;86:559-67 pubmed
    ..The cases of three patients with spontaneous esophageal perforation simulating other primary diagnoses are described...
  37. Okten I, Cangir A, Ozdemir N, Kavukcu S, Akay H, Yavuzer S. Management of esophageal perforation. Surg Today. 2001;31:36-9 pubmed
    Despite recent advances in thoracic surgery, the management of esophageal perforation remains problematical and controversial. Thirty-one patients were treated for an esophageal perforation between 1986 and 1998...
  38. Silva R, Ahluwalia J. Asymptomatic esophageal perforation after foreign body ingestion. Gastrointest Endosc. 2005;61:615-9 pubmed
  39. Kollmar O, Lindemann W, Richter S, Steffen I, Pistorius G, Schilling M. Boerhaave's syndrome: primary repair vs. esophageal resection--case reports and meta-analysis of the literature. J Gastrointest Surg. 2003;7:726-34 pubmed
    ..In cases of Boerhaave's syndrome, primary suturing of the esophageal perforation should be reserved only for those patients presenting within 12 hours after perforation...
  40. Brinster C, Singhal S, Lee L, Marshall M, Kaiser L, Kucharczuk J. Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004;77:1475-83 pubmed
    b>Esophageal perforation remains a devastating event that is difficult to diagnose and manage...
  41. Tran H, Vincent J, Slavin M, Grigg A. Esophageal perforation secondary to angio-invasive Candida glabrata following hemopoietic stem cell transplantation. Clin Microbiol Infect. 2003;9:1215-8 pubmed
    b>Esophageal perforation due to Candida glabrata is a rare entity. This organism is uncommonly recognized to be angio-invasive and cause gastrointestinal tract perforation. Herein, we describe a case of invasive C...
  42. Nozoe T, Kitamura M, Adachi Y, Funahashi S, Yoh R, Iso Y, et al. Successful conservative treatment for esophageal perforation by a fish bone associated with mediastinitis. Hepatogastroenterology. 1998;45:2190-2 pubmed
    A 74 year-old man presenting with esophageal perforation associated with mediastinitis due to the swallowing of a fish bone is reported herein...
  43. Port J, Kent M, Korst R, Bacchetta M, Altorki N. Thoracic esophageal perforations: a decade of experience. Ann Thorac Surg. 2003;75:1071-4 pubmed
    ..Primary repair can be carried out in most cases of thoracic esophageal perforation regardless of time to presentation, with a low mortality rate...
  44. Duncan M, Wong R. Esophageal emergencies: things that will wake you from a sound sleep. Gastroenterol Clin North Am. 2003;32:1035-52 pubmed
    ..In either elected course the gastroenterologist should work closely with the surgical team. ..
  45. Jougon J, Mc Bride T, Delcambre F, Minniti A, Velly J. Primary esophageal repair for Boerhaave's syndrome whatever the free interval between perforation and treatment. Eur J Cardiothorac Surg. 2004;25:475-9 pubmed
    Boerhaave's syndrome is the most sinister cause of esophageal perforation responsible with mortality rate ranging from 20 to 30%...
  46. Gupta N, Kaman L. Personal management of 57 consecutive patients with esophageal perforation. Am J Surg. 2004;187:58-63 pubmed
    b>Esophageal perforation is a surgical emergency associated with high morbidity and mortality. There is no consensus regarding the appropriate management of this life-threatening condition...
  47. Fadoo F, Ruiz D, Dawn S, Webb W, Gotway M. Helical CT esophagography for the evaluation of suspected esophageal perforation or rupture. AJR Am J Roentgenol. 2004;182:1177-9 pubmed
  48. Radecke K, Gerken G, Treichel U. Impact of a self-expanding, plastic esophageal stent on various esophageal stenoses, fistulas, and leakages: a single-center experience in 39 patients. Gastrointest Endosc. 2005;61:812-8 pubmed
    ..The therapeutical success and the complication rate after SEPS placement are similar to that reported for self-expanding metal stents. In addition, the SEPS can be readily removed, and the costs are significantly lower. ..
  49. Von Rahden B, Feith M, Dittler H, Stein H. Cervical esophageal perforation with severe mediastinitis due to an impacted dental prosthesis. Dis Esophagus. 2002;15:340-4 pubmed
    ..the well-known phenomena of prosthesis ingestion and frequently delayed diagnosis, as well as our treatment strategy of cervical esophageal perforation with placement of a T-tube into the cervical esophagus and mediastinal drainage.
  50. Rubikas R. Pharyngeal and oesophageal injuries. Injury. 2004;35:371-8 pubmed
    ..05) relevant to development of complications following transmural POI; (3) urgent surgical intervention is the main part of the combined treatment of complicated transmural POI. ..
  51. Ng T, Maziak D, Shamji F. Esophageal perforation: a rare complication of Zollinger-Ellison syndrome. Ann Thorac Surg. 2001;72:592-3 pubmed
    ..Failure to recognize its existence can lead to an unsuccessful treatment of the esophageal perforation. We present a rare case of reflux esophagitis-induced esophageal perforation in a patient with ZES...
  52. Chao Y, Liu Y, Ko P, Wu Y, Hsieh M, Liu H, et al. Treatment of esophageal perforation in a referral center in taiwan. Surg Today. 2005;35:828-32 pubmed
    The high mortality associated with esophageal perforation can be reduced by aggressive surgery and good critical care. We report our experience of treating esophageal perforation in a clinic in Taiwan...
  53. Siersema P, Homs M, Haringsma J, Tilanus H, Kuipers E. Use of large-diameter metallic stents to seal traumatic nonmalignant perforations of the esophagus. Gastrointest Endosc. 2003;58:356-61 pubmed
    ..Eleven consecutive patients presented with esophageal perforation that was caused by Boerhaave's syndrome (n = 5), resection of an epiphrenic diverticulum (n = 2), rigid ..