Skip to main content

Advertisement

SpringerLink
Log in

Esophageal ruptures: triage using the systemic inflammatory response syndrome score

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Esophageal rupture is a rare entity. Delay in the diagnosis and treatment may threaten the patient’s life. The decision for surgical or nonsurgical treatment, however, remains controversial because advocates of both treatments have reported comparable results. To quantify the decision making, we suggest the systemic inflammatory response syndrome (SIRS) score for triage of an esophageal rupture. Using this criterion for 12 patients resulted in the survival of all of them. Therefore, we advocate use of the SIRS score for triage of an esophageal rupture.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cameron JL, Kieffer RF, Hendrix TR, Mehigan DG, Baker RB. Selective nonoperative management of contained intrathoracic esophageal disruptions. Ann Thorac Surg 1979;27:404–408.

    Article  PubMed  CAS  Google Scholar 

  2. Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, et al. Definitions for sepsis and organ failure and guidelines for use of innovative therapies in sepsis. Chest 1992;101:1644–1655.

    Article  PubMed  CAS  Google Scholar 

  3. Backer CL, LoCicero J 3rd, Hartz RS, Donaldson JS, Shields T. Computed tomography in patients with esophageal perforation. Chest 1990;98:1078–1080.

    Article  PubMed  CAS  Google Scholar 

  4. Ochiai T, Hiranuma S, Takiguchi N, Ito K, Teramoto K, Kawano T, et al. Omental wrapping of esophageal rupture in combination with T-tube drainage. Esophagus 2004;1:143–146.

    Article  Google Scholar 

  5. Shaffer HA, Valenzuela G, Mittal RK. Esophageal perforation: a reassessment of the criteria for choosing medical or surgical therapy. Arch Intern Med 1992;152:757–761.

    Article  PubMed  Google Scholar 

  6. Maier A, Pinter H, Anegg U, Fell B, Tomaselli F, Sankin O. Boerhaave’s syndrome: a continuing challenge in thoracic surgery. Hepatogastroenterology 2001;48:1368–1371.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Shimonoseki City Central Hospital, 1-13-1 Koyo-cho, Shimonoseki, Yamaguchi, 750-8520, Japan

    Kouichi Furugaki, Koji Hokazono, Toshiyuki Ishimitsu, Masahiro Shinohara & Kenichi Matsuo

  2. Department of General Thoracic Surgery, Shimonoseki City Central Hospital, Shimonoseki, Japan

    Junichi Yoshida & Mayumi Ohyama

  3. Department of Radiology, Shimonoseki City Central Hospital, Shimonoseki, Japan

    Takuya Emoto

  4. Department of Gastroenterology, Shimonoseki City Central Hospital, Shimonoseki, Japan

    Jo Nakashima

Authors
  1. Kouichi Furugaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Junichi Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Koji Hokazono
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takuya Emoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jo Nakashima
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Mayumi Ohyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Toshiyuki Ishimitsu
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Masahiro Shinohara
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Kenichi Matsuo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kouichi Furugaki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Furugaki, K., Yoshida, J., Hokazono, K. et al. Esophageal ruptures: triage using the systemic inflammatory response syndrome score. Gen Thorac Cardiovasc Surg 59, 220–224 (2011). https://doi.org/10.1007/s11748-010-0617-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-010-0617-8

Key words

Search

Navigation