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Abstract
Although several treatment methodologies have been used to manage esophageal perforations, there is no absolute standard of care. Surgical intervention has been the traditional and most popular management approach. It is well known that early intervention provides the best outcome. Mortality for patients with iatrogenic or spontaneous perforations ranges from 0% to 11%. Delays in treatment are associated with heightened complications and with mortality that can exceed 50%. Leak rates after surgical repair are common, ranging from 0% to more than 50% for patients who have delays in treatment, particularly in barogenic perforations.
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