TY  - JOUR
TI  - Minimally Invasive and Endoscopic Approach to Esophageal Perforation
AB  - Although esophageal perforation is rare, it is a life-threatening condition. The esophagus is very sensitive to 
rupture and perforation due to the absence of a serosal layer. More than half of the esophageal perforations are iatrogenic and most occur during endoscopy. Around 55% of esophageal injuries occur in the 
intrathoracic region, 25% in the cervical region, and 20% in the abdominal region. Clinical manifestations 
and mortality are related to various components such as the etiology, localization, type of injury, severity 
of contamination, injury to adjacent mediastinal structures, and time from perforation to treatment. When 
perforation occurs in the esophagus, saliva, stomach contents, bile fluid, and other secretions may pass into 
the mediastinum causing mediastinal emphysema, inflammation followed by mediastinal necrosis, and chemical mediastinitis. Early clinical suspicion and imaging are essential for successful treatment. Despite advances 
in technology and treatment, the morbidity and mortality rate due to esophageal perforation is still higher 
than 20% according to the reported studies. Until now, the main treatment of esophageal perforation was 
the surgical approach. Nowadays, endoluminal procedures such as endoscopic vacuum therapy, endoscopic 
stent placement, endoscopic clip closure, endoscopic suturing, and tissue adhesives have started to be applied 
more. In this review, the minimally invasive and endoscopic approach methods suitable for esophageal perforation according to the characteristics of the patients and the structure of the perforation were examined.
AU  - Eroglu, Atilla
AU  - Aydin, Yener
AU  - Ulas, Ali Bilal
DO  - 10.5152/eurasianjmed.2022.21135
PY  - 2022
JO  - Eurasian Journal of Medicine
VL  - 54
IS  - 1
SN  - 1308-8734
SP  - 101
EP  - 106
DB  - TRDizin
UR  - http://search/yayin/detay/524294
ER  -