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Surgical management and prognostic factors in esophageal perforation caused by foreign body

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Abstract

Objectives

Esophageal perforation is associated with multiple serious complications and high mortality. Herein, we identify some predictors for postoperative outcomes, compare the outcomes of various surgical approaches, and summarize our experience with esophageal perforation over the past 13 years.

Methods

We retrospectively analyzed 38 patients diagnosed with esophageal perforation caused by foreign body between November 2004 and May 2018. Univariate analysis and multivariate logistic regression analysis were performed to identify potential risk factors related to prognosis. Effects of different surgery were compared based on postoperative outcomes.

Results

Of the 38 patients, the number of females was equal to males with a mean age of 55.6 ± 14.9 (range 23–93) years; 22 had thoracic perforations and 16 had cervical perforations. The overall mortality rate was 5.3%. Univariate analysis revealed that sex (p = 0.049), type of foreign body (p = 0.042), abscess (p = 0.049), and site of perforation (p = 0.031) were associated with prognosis. The interval between perforation and surgery did not significantly influence prognosis (p = 0.929). No significant difference was found in postoperative outcomes among various surgeries.

Conclusions

The interval between perforation and treatment was not as important as previously reported. Surgical management should be performed early when feasible, even if the interval between perforation and surgery is 24 h or longer.

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Acknowledgements

This research was not supported by any external funding. We thank International Science Editing for editing this manuscript.

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Author notes

  1. Yiwei Huang and Tao Lu contributed equally to this work.

Authors and Affiliations

  1. Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China

    Yiwei Huang, Tao Lu, Yu Liu, Cheng Zhan, Di Ge, Lijie Tan & Qun Wang

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  1. Yiwei Huang
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  2. Tao Lu
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  3. Yu Liu
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  4. Cheng Zhan
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  5. Di Ge
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Correspondence to Yu Liu.

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Ethical Statement

Our work conforms to the guidelines set forth in the Helsinki Declaration of 1975, as revised in 2000 (5), concerning Human and Animal Rights, and that they followed the policy concerning informed consent.

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Yiwei Huang, Tao Lu, Yu Liu, Cheng Zhan, Di Ge, Lijie Tan, and Qun Wang declare that they have no conflict of interest.

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Huang, Y., Lu, T., Liu, Y. et al. Surgical management and prognostic factors in esophageal perforation caused by foreign body. Esophagus 16, 188–193 (2019). https://doi.org/10.1007/s10388-018-0652-6

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  • DOI: https://doi.org/10.1007/s10388-018-0652-6

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