Evidence map›Paper›PMID 37370071›Full record

ArticleBMC surgery2023

Esophageal perforation etiology, outcome, and the role of surgical management - an 18-year experience of surgical cases in a referral center.

Reza Shahriarirad, Mohamadreza Karoobi, Ramin Shekouhi, Kamyar Ebrahimi, Keivan Ranjbar, Armin Amirian, Parviz Mardani, Mohammad Javad Fallahi, Bizhan Ziaian

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. [Esophageal perforation: surgical outcomes in a referral center].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  2. Article
  3. Evaluation of surgical outcomes in esophageal injuries: a 20-year retrospective analysis.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Esophageal perforation management: a single-center experience.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Reza ShahriariradThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Mohamadreza KaroobiThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Ramin ShekouhiDepartment of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Kamyar EbrahimiThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Keivan RanjbarThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Armin AmirianThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Parviz MardaniThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Mohammad Javad FallahiThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
Bizhan ZiaianThoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran. moon_gray2000@yahoo.com.
Shiraz University of Medical Sciences · IRShiraz University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEsophageal perforation is a surgical emergency with a high rate of morbidity and mortality. Its poor prognosis is mainly associated with previous patient-specific comorbidities and a lack of timely diagnosis and treatment. The objective of this study was to investigate the etiological factors and different surgical methods of treatment with consideration of mortality rate and comorbidities.

methodThe present cross-sectional study was conducted on patients who underwent surgical intervention due to esophageal injury from 2002 to 2019 (18 years). Demographic and clinical characteristics along with performed surgical interventions were evaluated accordingly.

resultsIn this study, 69 patients with a mean age of 38.8 years were evaluated, of which 45 (65.2%) cases were men. In terms of location of the perforation, the thoracic portion of the esophagus followed by the cervical and abdominal esophagus were more frequently injured with a rate of 32 (46.4%), 30 (43.5%), and 19 (27.5%) cases, respectively. Accordingly, foreign body ingestion followed by penetrating injuries were the most common causative agents leading to esophageal perforation.

conclusionObtaining the desired results from the treatment of this condition depends on factors such as patients' previous comorbidities, cause of the rupture, the location of the esophageal damage, and delay in the start of treatment. Since there is no single gold standard treatment strategy, each patient should be individually evaluated.

Indexed as

Esophageal PerforationAdultCross-Sectional StudiesEsophagoscopyFemaleHumansMaleRetrospective StudiesEsophageal perforationEsophageal ruptureSurgical management

Identifiers

PMID37370071
PMCPMC10304640
OpenAlexW4382196406

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.