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dc.contributor.authorSøreide, Jon Arneen_US
dc.contributor.authorViste, Asgauten_US
dc.date.accessioned2014-11-20T14:50:41Z
dc.date.available2014-11-20T14:50:41Z
dc.date.issued2011-10-30eng
dc.identifier.issn1757-7241
dc.identifier.urihttps://hdl.handle.net/1956/8773
dc.description.abstractAbstract 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.isoengeng
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.subjectEsophaguseng
dc.subjectperforationeng
dc.subjectearly diagnosiseng
dc.subjectSurgeryeng
dc.subjectnon-surgical managementeng
dc.subjectendoscopyeng
dc.titleEsophageal perforation: Diagnostic work-up and clinical decision-making in the first 24 hoursen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2013-08-23T09:39:25Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2011 Søreide and Viste; licensee BioMed Central Ltd
dc.rights.holderJon Søreide et al.; licensee BioMed Central Ltd.
dc.source.articlenumber66
dc.identifier.doihttps://doi.org/10.1186/1757-7241-19-66
dc.identifier.cristin904603
dc.source.journalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
dc.source.4019


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