title: [Management of iatrogenic esophageal perforations].
abstract: BACKGROUND
  Iatrogenic esophageal perforations are still a life-threatening clinical entity.
  
  
  RESULTS
  We present the case reports of six patients to demonstrate different treatment options and we focus on new therapeutic strategies which have evolved in the interdisciplinary management of iatrogenic esophageal perforations. Two patients with perforations in the cervical esophagus were operated and in another patient the perforation was closed with fibrin glue. Three patients with perforations in the thoracic esophagus were treated with self-expandable plastic stents.
  
  
  CONCLUSIONS
  The surgical therapy of esophageal perforations still is regarded to be the gold standard and nonadherence should only be considered based on interdisciplinary decisions in individual cases. However, positive results are increasingly being reported for conservative endoscopic treatment, particularly for thoracic perforations.
authors.affiliation: Universitäts-Hals-, Nasen-, Ohrenklinik, Essen, Germany. juergen.lautermann@uni-due.de
authors.forename: J
authors.initials: J
authors.lastname: Lautermann
authors.forename: K
authors.initials: K
authors.lastname: Radecke
authors.forename: H
authors.initials: H
authors.lastname: Sudhoff
authors.forename: H
authors.initials: H
authors.lastname: Lang
authors.forename: A
authors.initials: A
authors.lastname: Neumann
authors.forename: K
authors.initials: K
authors.lastname: Jahnke
authors.forename: T
authors.initials: T
authors.lastname: Zöpf
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004939:Esophageal Perforation / Q000628:therapy*; D016629:Esophagectomy / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D015607:Stents; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive