dc.contributor.author | Søreide, Jon Arne | en_US |
dc.contributor.author | Viste, Asgaut | en_US |
dc.date.accessioned | 2014-11-20T14:50:41Z | |
dc.date.available | 2014-11-20T14:50:41Z | |
dc.date.issued | 2011-10-30 | eng |
dc.identifier.issn | 1757-7241 | |
dc.identifier.uri | https://hdl.handle.net/1956/8773 | |
dc.description.abstract | Abstract Esophageal perforation is a rare and potentially life-threatening condition. Early clinical suspicion and imaging is important for case management to achieve a good outcome. However, recent studies continue to report high morbidity and mortality greater than 20% from esophageal perforation. At least half of the perforations are iatrogenic, mostly related to endoscopic instrumentation used in the upper gastrointestinal tract, while about a third are spontaneous perforations. Surgical treatment remains an important option for many patients, but a non-operative approach, with or without use of an endoscopic stent or placement of internal or external drains, should be considered when the clinical situation allows for a less invasive approach. The rarity of this emergency makes it difficult for a physician to obtain extensive individual clinical experience; it is also challenging to obtain firm scientific evidence that informs patient management and clinical decision-making. Improved attention to non-specific symptoms and signs and early diagnosis based on imaging may translate into better outcomes for this group of patients, many of whom are elderly with significant comorbidity. | en_US |
dc.language.iso | eng | eng |
dc.publisher | BioMed Central | eng |
dc.rights | Attribution CC BY | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/2.0 | eng |
dc.subject | Esophagus | eng |
dc.subject | perforation | eng |
dc.subject | early diagnosis | eng |
dc.subject | Surgery | eng |
dc.subject | non-surgical management | eng |
dc.subject | endoscopy | eng |
dc.title | Esophageal perforation: Diagnostic work-up and clinical decision-making in the first 24 hours | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2013-08-23T09:39:25Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2011 Søreide and Viste; licensee BioMed Central Ltd | |
dc.rights.holder | Jon Søreide et al.; licensee BioMed Central Ltd. | |
dc.source.articlenumber | 66 | |
dc.identifier.doi | https://doi.org/10.1186/1757-7241-19-66 | |
dc.identifier.cristin | 904603 | |
dc.source.journal | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | |
dc.source.40 | 19 | |