{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:40:29Z","timestamp":1756460429232},"reference-count":18,"publisher":"Index Copernicus","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2017,8,31]]},"abstract":"<jats:p>Background: Esophageal perforation is a life-threatening condition of a complex etiology. No clear guidelines are available regarding the management of this condition. In this study, we review publications related to esophageal perforation, and analyze patients treated for this condition at our Department of Thoracic, General and Oncological Surgery. Objective: The objective of the study was to retrospectively assess and analyze management methods for esophageal perforations of different etiologies. All patients were treated in the Department of Thoracic, General and Oncological Surgery in years 2009-2015. Patients with perforations resulting from post-operational leaks within surgical anastomoses were excluded from the study. Material, methods, results: The analysis involved a total of 16 cases of esophageal ruptures. All cases were treated in years 2009-2015. Patients with perforations resulting from postoperative leaks within surgical anastomoses following elective surgeries for either oncological or non-oncological causes were excluded. The most common reason for esophageal rupture was iatrogenic injury (7 cases, 44%). Other causes included Boerhaave syndrome (5 cases, 31.2%), blunt trauma (2 cases, 12.5%), abscess perforation (1 case, 6.2%), and ulcer perforation (1 case, 6.2%). Ten patients underwent surgery, and the rest underwent esophageal prosthesis placement, of whom 2 cases required drainage of the mediastinum and pleural cavity. The mortality rate in the study group was 9\/16 cases (56.2%). Conclusions: Esophageal perforation poses a significant interdisciplinary challenge regarding diagnostic workup, selection of treatment methods, and management of potential postoperative complications. This retrospective study was conducted in a single center. Although the analyzed period was long, we found only 16 cases. In spite of a variety of etiologies present, we found several statistically significant results of potential clinical value. 1. Most perforations that are not diagnosed within 48 hours affected the lower part of the esophagus and presented with unclear symptoms and imaging findings 2. Delaying diagnosis and treatment beyond 24 hours was associated with a higher mortality rate.<\/jats:p>","DOI":"10.5604\/01.3001.0010.3899","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T14:59:27Z","timestamp":1527001167000},"page":"1-4","source":"Crossref","is-referenced-by-count":10,"title":["Oesophageal perforation \u2013 therapeutic and diagnostics challenge. Retrospective, single-center case report analysis (2009\u20132015)"],"prefix":"10.5604","volume":"89","author":[{"given":"Piotr","family":"Misiak","sequence":"first","affiliation":[{"name":"1Departament of Chest Surgery, General and Oncological Surgery University Hospital WAM and CSW Medical University of Lodz, Poland, Head of the clinic: dr hab. n.med. S\u0142awomir Jab\u0142o\u0144ski"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u0142awomir","family":"Jab\u0142o\u0144ski","sequence":"additional","affiliation":[{"name":"1Departament of Chest Surgery, General and Oncological Surgery University Hospital WAM and CSW Medical University of Lodz, Poland, Head of the clinic: dr hab. n.med. S\u0142awomir Jab\u0142o\u0144ski"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0141ukasz","family":"Piskorz","sequence":"additional","affiliation":[{"name":"Word of General Surgery in the Saint John Hospital in \u0141\u00f3d\u017a, Head of the clinic: dr n. med. Marek Staniaszczyk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lechos\u0142aw","family":"Doro\u017ca\u0142a","sequence":"additional","affiliation":[{"name":"Emergency Department in the PCM in Pabianice, Head of the clinic: lek. Lechos\u0142aw Doro\u017ca\u0142a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur","family":"Terlecki","sequence":"additional","affiliation":[{"name":"Department of Chest Surgery, General and Oncological Surgery University Hospital WAM and CSW, Medical University in \u0141\u00f3d\u017a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szymon","family":"Wcis\u0142o","sequence":"additional","affiliation":[{"name":"Department of Chest Surgery, General and Oncological Surgery University Hospital WAM and CSW, Medical University in \u0141\u00f3d\u017a"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"152403r1","unstructured":"Henderson E., Echave V., Lalancette M., Langlois G.: Esophaqgeal perforation in closed neck trauma. Can. J. 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