Evolving options in the management of esophageal perforation

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Presentation transcript:

Evolving options in the management of esophageal perforation Clayton J Brinster, BA, Sunil Singhal, MD, Lawrence Lee, BS, M.Blair Marshall, MD, Larry R Kaiser, MD, John C Kucharczuk, MD The Annals of Thoracic Surgery Volume 77, Issue 4, Pages 1475-1483 (April 2004) DOI: 10.1016/j.athoracsur.2003.08.037

Fig 1 Association of cause to anatomic location of esophageal perforation in 250 patients from recent series [5, 6, 8, 14, 90]. = abdominal; □ = thoracic; ■ = cervical. The Annals of Thoracic Surgery 2004 77, 1475-1483DOI: (10.1016/j.athoracsur.2003.08.037)

Fig 2 Algorithm for management of esophageal perforation. The Annals of Thoracic Surgery 2004 77, 1475-1483DOI: (10.1016/j.athoracsur.2003.08.037)

Fig 3 Overall effect of delayed treatment on mortality following esophageal perforation compared with effect of delayed treatment on mortality when perforation is treated by primary repair [5–7, 9, 10, 14, 16, 55, 61, 89, 90, 92, 95]. = all therapy; □ = primary repair. The Annals of Thoracic Surgery 2004 77, 1475-1483DOI: (10.1016/j.athoracsur.2003.08.037)