Management of Iatrogenic Cervical Esophageal Perforations

“Esophageal perforations are difficult to diagnose and have a high mortality rate. The existing studies on esophageal perforations address treatment by anatomic location and by cause, but few focus specifically on iCEPs. The management of iCEPs is controversial. There is a need for additional prospective studies comparing treatment options for iCEPs to establish a gold standard treatment and to assess for the expanding role of endoscopic interventions.” (Chen)


“Iatrogenic CEPs are a diagnostic and therapeutic challenge, and delay in treatment beyond 24 hours leads to substantially greater morbidity and mortality. The most important diagnostic element is to maintain a high index of suspicion for esophageal perforation” (Chen)

Chen S, et al Management of Iatrogenic Cervical Esophageal Perforations: A Narrative Review. JAMA Otolaryngol Head Neck Surg. 2020 May 1;146(5):488-494. Full Text for Emory Users

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