PDF(Pubmed)
Abstract：
Esophageal perforation, a rare and serious condition, has seen a reduction in mortality from 30% to 15% over the last three decades due to advancements such as gastrointestinal stents, minimally invasive surgeries, and improved interventional radiology techniques. This review analyzes management strategies for esophageal perforation based on 14 English-language articles published from 2009 to 2024, primarily utilizing surveys and national database analyses. The management of esophageal perforation is complex, with challenges in diagnosis and treatment strategy. Despite surgery being the traditional treatment, the role of less invasive methods is growing. Effective management of esophageal perforation involves advanced imaging for diagnosis, hemodynamic stabilization, and a multidisciplinary approach to treatment, including surgical and non-surgical interventions. The evidence for different treatment outcomes remains limited, highlighting the need for comprehensive care involving thoracic surgery, interventional radiology, gastroenterology, and critical care in an intensive care unit setting.
摘要：
食管穿孔,罕见而严重的情况,在过去的三十年里，由于胃肠支架等技术的进步，死亡率从30%下降到15%，微创手术，和改进的介入放射学技术。这篇综述基于2009年至2024年发表的14篇英语文章，主要利用调查和国家数据库分析，分析了食管穿孔的管理策略。食管穿孔的处理是复杂的,在诊断和治疗策略方面面临挑战。尽管手术是传统的治疗方法,侵入性较小的方法的作用越来越大。食管穿孔的有效治疗包括先进的影像学诊断，血液动力学稳定，和多学科的治疗方法，包括手术和非手术干预。不同治疗结果的证据仍然有限，强调需要包括胸外科在内的全面护理，介入放射学,胃肠病学,和重症监护病房的重症监护。
