title: Advances in the management of esophageal perforation.
abstract: Therapy for acute esophageal perforation in the last decade has benefited from newer technology in endoscopy and imaging. Success with nonoperative therapies such as endoluminal stenting and clipping has improved outcomes and shortened length of stay in selected patients. Iatrogenic injury currently comprises most acute esophageal perforation, and nonoperative therapy may be appropriate in a significant percentage of patients. The decision regarding operative vs non-operative therapy is best done by a dedicated surgical team with experience in all the surgical and endoscopic treatment options. Boerhaave syndrome occurs less often and may be treated with endoscopic therapy, although it more likely requires operative intervention. This article reviews current advances in the diagnosis and management of acute esophageal perforation.
authors: Department of Surgery, Virginia Mason Medical Center, 1100 Ninth Avenue, C6-GS, Seattle, WA 98111, USA.
authors: Philip W
authors: PW
authors: Carrott
authors: Donald E
authors: DE
authors: Low
mesh_terms: D004939:Esophageal Perforation / Q000175:diagnosis / Q000601:surgery*; D004945:Esophagoscopy; D006801:Humans; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D015607:Stents; D013525:Surgical Instruments; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation