Endoscopic management of esophageal perforations: a multi-center study.

ABSTRACT:

Background

Esophageal perforation (EP) is a rare but life-threatening condition with an incidence of approximately 3.1 per million annually. While iatrogenic injury during endoscopy is the leading cause, other etiologies include spontaneous rupture, trauma, and malignancy. EP can present with nonspecific symptoms, most commonly chest pain or dysphagia, and diagnostic delays are associated with worse outcomes. Multiple non-operative strategies exist, including primary closure, stenting (bypass), combination therapy, and conservative management. However, data guiding the optimal approach remain limited. The aim of this study was to evaluate outcomes of different non-operative management strategies for EP and identify predictors of successful repair.

Methods

We retrospectively

SUBMITTER: Aburumman R 

PROVIDER: S-EPMC12500714 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature