Review on Surgical Management of Esophageal Rupture Saudi Arabia

Abstract

Esophageal rupture presents a significant interprofessional challenge to the entire therapeutic team. It can occur in three different anatomical compartments and thus presents with a variety of symptoms; the majority of which are highly non-specific, which can significantly delay the time between perforation and final diagnosis. An esophageal rupture can be caused by a variety of pathophysiological factors. Instruments such as endoscope causes an elevation in the wall tension, particularly iatrogenic interventions, or a massive rise in intraluminal pressure caused by throwing up, chest injury, or abdominal injuries are the main stressors. The choice of the management plan and its outcome depends mainly on the site of the rupture. Although the perforation can occur at any site of the esophagus, there is a tendency to main areas that correspond to natural points of narrowing of the lumen.