Open AccessReview on Surgical Management of Esophageal Rupture Saudi Arabia, Review Article
Author(s) -
Hashem Bark Awadh Abood,
Fatmah Khalid Aljudaibi,
Zainab Ali Alarayedh,
Dalal Ali D. Alazmi,
Dekra Yousef Y. Arishi,
Abdulrahman Alomair,
Jaber Mohammed J. Zarbah Zarbah,
Suhair Mohammed Alhawkash,
Nedal Hatem Abada,
Sarah Alshammari,
Aseel Adel Shams,
Rahaf A Alamer,
Hamoud Shaya E. Alotaibi,
Hazem Khairan Althobaiti,
Noor Ameen Al Abbad
Publication year - 2021
Publication title -
journal of pharmaceutical research international
Language(s) - English
Resource type - Journals
ISSN - 2456-9119
DOI - 10.9734/jpri/2021/v33i60b34755
Subject(s) - medicine , perforation , etiology , surgery , case fatality rate , esophagus , epidemiology , intensive care medicine , general surgery , materials science , punching , metallurgy
Esophageal rupture presents a significant interprofessional challenge to the entire therapeutic team. The majority of symptoms are non-specific, which can significantly delay the time between perforation and final diagnosis. An esophageal rupture can be caused by a variety of pathophysiological factors. Instruments such as endoscope causes an elevation in the wall tension, particularly iatrogenic interventions, or a massive rise in intraluminal pressure caused by throwing up, chest injury, or abdominal injuries are the main stressors. The choice of the management plan and its outcome depends mainly on the site of the rupture. Although the perforation can occur at any site of the esophagus, there is a tendency to main areas that correspond to natural points of narrowing of the lumen. If esophageal rupture requires surgery, patients should be transported to the operating room as soon as feasible. Minor delays in surgical therapy can lead to higher rates of morbidity and fatality. This review aims to summarize current evidence on etiology, epidemiology, diagnosis, and surgical management of esophageal rupture.