title: Esophageal ruptures: triage using the systemic inflammatory response syndrome score.
abstract: Esophageal rupture is a rare entity. Delay in the diagnosis and treatment may threaten the patient's life. The decision for surgical or nonsurgical treatment, however, remains controversial because advocates of both treatments have reported comparable results. To quantify the decision making, we suggest the systemic inflammatory response syndrome (SIRS) score for triage of an esophageal rupture. Using this criterion for 12 patients resulted in the survival of all of them. Therefore, we advocate use of the SIRS score for triage of an esophageal rupture.
authors: Department of Surgery, Shimonoseki City Central Hospital, 1-13-1 Koyo-cho, Shimonoseki, Yamaguchi 750-8520, Japan. gakky@surg1.med.kyushu-u.ac.jp
authors: Kouichi
authors: K
authors: Furugaki
authors: Junichi
authors: J
authors: Yoshida
authors: Koji
authors: K
authors: Hokazono
authors: Takuya
authors: T
authors: Emoto
authors: Jo
authors: J
authors: Nakashima
authors: Mayumi
authors: M
authors: Ohyama
authors: Toshiyuki
authors: T
authors: Ishimitsu
authors: Masahiro
authors: M
authors: Shinohara
authors: Kenichi
authors: K
authors: Matsuo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003661:Decision Support Techniques; D004322:Drainage; D004939:Esophageal Perforation / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis*; D013907:Thoracostomy; D013908:Thoracotomy; D016896:Treatment Outcome; D014218:Triage / Q000379:methods*; D055815:Young Adult