Esophageal perforation etiology, outcome, and the role of surgical management – an 18-year experience of surgical cases in a referral center

BMC Surgery

Research

Ramin Shekouhi¹  Mohammad Javad Fallahi²  Armin Amirian³  Parviz Mardani³  Bizhan Ziaian³  Kamyar Ebrahimi⁴  Reza Shahriarirad⁴  Keivan Ranjbar⁴  Mohamadreza Karoobi⁴ 

[1] Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran;Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran;Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran;Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran;Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran;School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;

关键词: Esophageal rupture;    Esophageal perforation;    Surgical management;   

DOI  :  10.1186/s12893-023-02080-w

 received in 2022-08-27, accepted in 2023-06-15,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionEsophageal perforation is a surgical emergency with a high rate of morbidity and mortality. Its poor prognosis is mainly associated with previous patient-specific comorbidities and a lack of timely diagnosis and treatment. The objective of this study was to investigate the etiological factors and different surgical methods of treatment with consideration of mortality rate and comorbidities.MethodThe present cross-sectional study was conducted on patients who underwent surgical intervention due to esophageal injury from 2002 to 2019 (18 years). Demographic and clinical characteristics along with performed surgical interventions were evaluated accordingly.ResultsIn this study, 69 patients with a mean age of 38.8 years were evaluated, of which 45 (65.2%) cases were men. In terms of location of the perforation, the thoracic portion of the esophagus followed by the cervical and abdominal esophagus were more frequently injured with a rate of 32 (46.4%), 30 (43.5%), and 19 (27.5%) cases, respectively. Accordingly, foreign body ingestion followed by penetrating injuries were the most common causative agents leading to esophageal perforation.ConclusionObtaining the desired results from the treatment of this condition depends on factors such as patients’ previous comorbidities, cause of the rupture, the location of the esophageal damage, and delay in the start of treatment. Since there is no single gold standard treatment strategy, each patient should be individually evaluated.

【 授权许可】

CC BY   
© The Author(s) 2023