Abstract
Delayed recognition of esophageal perforation occurs due to the rarity of this problem and the protean manifestations of its presentation. The great majority of reports indicate delayed diagnosis of a perforated esophagus leads to more morbidity and mortality and greater length of stay when compared to those diagnosed less than 24 hours after perforation. Earlier reports and recommendations suggested that late recognition of an esophageal perforation mandated treatment other than primary repair. Grillo was one of the first to promote the concept of primary repair even in patients who were diagnosed late with an esophageal perforation. Most recent reports confirm the safety and efficacy of primary repair regardless of time of perforation. No randomized clinical trials have been performed of treatment options in esophageal perforations.
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© 2007 Springer-Verlag London Limited
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Wright, C.D. (2007). Primary Repair for Delayed Recognition of Esophageal Perforation. In: Ferguson, M.K. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-474-8_37
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DOI: https://doi.org/10.1007/978-1-84628-474-8_37
Publisher Name: Springer, London
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