Abstract
Esophageal rupture is a challenging surgical disease process encountered by acute care surgeons, in which time is of the essence in order to prevent morbidity and mortality. Because the esophagus lies in three separate body cavities and perforations can occur anywhere along the entire length of the esophagus, patients may present with diverse and nonspecific symptoms. This, in turn, can lead to delays in diagnosis and treatment, despite modern clinical practice (Sdralis et al. Dis Esophagus 30, 1–6, 2017). Although rupture of the esophagus is a rare clinical entity, it is a highly lethal condition carrying a mortality rate between 20% and 30% in most series. Time from perforation to recognition remains the most important factor associated with complications and death (Abbas et al. Dig Surg 146, 749–756, 2009; Amudhan et al. Dig Surg 26, 322–328, 2009). However, a recent review of the available literature from 2005 to 2015 estimated the overall mortality to be 13.3% (Sdralis et al. Dis Esophagus 30, 1–6, 2017).This chapter is a review of management of esophageal rupture.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Soreide JA, et al. Esophageal perforation: clinical patterns and outcomes from a patient cohort of Western Norway. Dig Surg. 2012;29(6):494–502.
Sdralis EIK, et al. Epidemiology, diagnosis, and management of esophageal perforations: systematic review. Dis Esophagus. 2017;30(8):1–6.
Abbas G, et al. Contemporaneous management of esophageal perforation. Surgery. 2009;146(4):749–55; discussion 755–6.
Bufkin BL, Miller JI Jr, Mansour KA. Esophageal perforation: emphasis on management. Ann Thorac Surg. 1996;61(5):1447–51; discussion 1451–2.
Derbes VJ, Mitchell RE Jr. Rupture of the esophagus. Surgery. 1956;39(5):865–88.
Reeder LB, DeFilippi VJ, Ferguson MK. Current results of therapy for esophageal perforation. Am J Surg. 1995;169(6):615–7.
Kiernan PD, et al. Thoracic esophageal perforations. South Med J. 2003;96(2):158–63.
Quine MA, et al. Prospective audit of perforation rates following upper gastrointestinal endoscopy in two regions of England. Br J Surg. 1995;82(4):530–3.
Sieg A, Hachmoeller-Eisenbach U, Eisenbach T. Prospective evaluation of complications in outpatient GI endoscopy: a survey among German gastroenterologists. Gastrointest Endosc. 2001;53(6):620–7.
Buecker A, et al. Esophageal perforation: comparison of use of aqueous and barium-containing contrast media. Radiology. 1997;202(3):683–6.
Suarez-Poveda T, et al. Diagnostic performance of CT esophagography in patients with suspected esophageal rupture. Emerg Radiol. 2014;21(5):505–10.
Pauli EM, Marks JM. Esophageal perforation. In: Fischer’s mastery of surgery, vol. 7. Philadelphia: Wolter Kluwer; 2019.
Amudhan A, et al. Management of esophageal perforation: experience from a tertiary center in India. Dig Surg. 2009;26(4):322–8.
Dickinson KJ, et al. Utility of endoscopic therapy in the management of Boerhaave syndrome. Endosc Int Open. 2016;4(11):E1146–50.
Sudarshan M, et al. Management of esophageal perforation in the endoscopic era: is operative repair still relevant? Surgery. 2016;160(4):1104–10.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Bosarge, P.L., Kim, D.Y. (2021). Esophageal Rupture. In: Galante, J.M., Coimbra, R. (eds) Thoracic Surgery for the Acute Care Surgeon. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-48493-4_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-48493-4_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-48492-7
Online ISBN: 978-3-030-48493-4
eBook Packages: MedicineMedicine (R0)