Advances in the Management of Esophageal Perforation

被引：46

作者：

Carrott, Philip W., Jr. ^{[1
]}

Low, Donald E. ^{[1
,2
]}

机构：

[1] Virginia Mason Med Ctr, Dept Surg, Seattle, WA 98111 USA

[2] Univ Washington, Sch Med, Seattle, WA USA

来源：

THORACIC SURGERY CLINICS | 2011年 / 21卷 / 04期

关键词：

Esophageal perforation; Boerhaave syndrome; Stent; Endoscopy; BOERHAAVES-SYNDROME; CONTRAST SWALLOW; ANASTOMOTIC LEAK; NONOPERATIVE MANAGEMENT; COMPUTED-TOMOGRAPHY; PNEUMATIC DILATION; PLASTIC STENTS; OPTIONS; BENIGN; REPAIR;

D O I：

10.1016/j.thorsurg.2011.08.002

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

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. latrogenic 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.

引用

页码：541 / +

页数：16

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