Esophageal Perforation and Injury
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Diagnosis, management and outcome are critically affected by etiology, location and duration between event and intervention. Unfortunately, in many instances (particularly after “spontaneous” or traumatic injury) there is a tendency for the diagnosis to be made in a delayed fashion. There has been a trend of moving away from “time-based” therapy, with injuries diagnosed > 24 hours after injury being managed by “exclusion-diversion” to therapy based on an understanding of the clinical stability of the patient, underlying esophageal pathology and quality of the mediastinal tissues. An individualised approach must still be taken as these patients are commonly physiologically as well as anatomically challenging.
KeywordsChest Tube Primary Repair Esophageal Perforation Esophageal Injury Spontaneous Perforation
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