Prognostic factors of esophageal perforation and rupture leading to mortality: a retrospective study

• DOI: 10.1186/s13019-021-01680-y
• Publication Date: 2021-10-10T20:55:43Z
• Authors: Jong Duk Kim
• Keywords: Perforation; Cardiothoracic surgery; White blood cell

Esophageal perforation and rupture (EPR) is a serious, potentially life-threatening condition. However, no treatment methods have been established, data concerning factors affecting mortality are limited. This report presents the prognostic of in EPR based on experience management such patients.For this retrospective analysis, 79 patients diagnosed as having between 2006 2016 managed at Gyeongsang National University Hospital were examined. The method was determined accordance with location size EPR, laboratory findings, radiological findings. Thirty-nine treated surgery; 40, nonsurgical management.The most common cause foreign body (fish bone or meat bone), followed by vomiting, iatrogenic causes, trauma. underwent primary repair whom 4 died. Forty management, 3 remaining discharged. Mortality correlated (> 25 mm) segmented neutrophil count percentage 86.5%) white blood cell test differential.The risk increased when differential high. Delayed diagnosis, which considered an important predictive factor previous investigations, not statistically significant study.Not applicable.