Bayram, Ahmet SamiErol, Mehmet MuharremMelek, HüseyinÇolak, Mehmet AliKermenli, TayfunGebitekin, Cengiz2024-09-242024-09-242015-02-011308-8734https://doi.org/10.5152/eajm.2014.55https://www.eajm.org//en/the-success-of-surgery-in-the-first-24-hours-in-patients-with-esophageal-perforation-132756https://hdl.handle.net/11452/45123Objective: Esophageal perforation (EP) is a critical and potentially life-threatening condition with considerable rates of morbidity and mortality. Despite many advances in thoracic surgery, the management of patients with EP is still controversial.Materials and Methods: We retrospectively reviewed 34 patients treated for EP, 62% male, mean age 53.9 years. Sixty-two percent of the EPs were iatrogenic. Spontaneous and traumatic EP rates were 26% and 6%, respectively. Three patients had EP in the cervical esophagus and 31 in the thoracic esophagus.Results: Mean time to initial treatment was 34.2 hours. Twenty patients comprised the early group <24 h) and 14 patients the late group (>24 h). Management of the EP included primary closure in 30 patients, non-surgical treatment in two, stent in one and resection in one. Mortality occurred in nine of the 34 patients (26%). Mortality was EP-related in four patients. Three of the nine patients that died were in the early group (p<0.05). Mean hospital stay was 13.4 days.Conclusion: EP remains a potentially fatal condition and requires early diagnosis and accurate treatment to prevent the morbidity and mortality.eninfo:eu-repo/semantics/openAccessNonoperative managementPrimary repairExperienceDiagnosisEsophageal perforationEmergency treatmentThoracic surgeryGeneral & internal medicineArticle000360365100006414747110.5152/eajm.2014.55