Acute esophageal perforations in a rural academic center

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Purpose: To evaluate etiology, risk factors, and rates of nonmalignant causes of esophageal perforations in a rural population. Background: Esophageal perforations present a significant mortality rate of 5.5-36%. Etiology can be divided into iatrogenic and noniatrogenic causes. The location of perforation can be cervical, thoracic, or abdominal, leading to various presenting symptoms and varying mortality rates, with the most important modifiable factor being time from diagnosis to treatment. It has been shown that a delay in treatment greater than 24 hours is associated with a twofold increase in overall mortality rate.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.