ReviewCureus2024
The Management of Esophageal Perforation: A Systematic Review.
Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Management of iatrogenic esophageal perforations: a systematic review of non-surgical causes.Surgical endoscopy · 2026Pooled it
- Real-world management and in-hospital outcomes of foreign body-associated esophageal perforations in the United States: a national retrospective cohort study.Clinical endoscopy · 2026Article
- Histological and transcriptomic changes associated with matrix metalloproteinase 9 upregulation in rat esophageal fistula.Journal of thoracic disease · 2026Article
- Endoscopic Suture Fixation of an Esophageal Stent after Combined Interventional Radiology-Endoscopy Rendezvous for a Non-Traversable Iatrogenic Esophageal Perforation.Cardiovascular and interventional radiology · 2026Article
- [Esophageal perforation: surgical outcomes in a referral center].Revista medica del Instituto Mexicano del Seguro Social · 2026Article
- Article
- Esophageal Perforation during Bougie Calibration: Are Bariatric Surgeons Still Haunted by the Bo(u)gie Man?Obesity facts · 2026Article
- Upper Esophageal Perforation with Cervico-Mediastinal Extension Successfully Treated with Endoluminal Vacuum Therapy: A Case Report Highlighting Inflammatory Marker Dynamics.Life (Basel, Switzerland) · 2026Article
- T-tube insertion as a salvage procedure for failed primary repair in penetrating esophageal injury complicated by sepsis: a case report from low resource setting.International journal of surgery case reports · 2026Article
- Percutaneous endoscopic gastrostomy-assisted placement of endoluminal vacuum-assisted closure for esophageal perforation.Endoscopy · 2026Article
- The Efficacy of Esophageal Stenting in Managing Esophageal Tumor Perforation: A Retrospective Study.Journal of cancer & allied specialties · 2026Article
- Endoscopic stenting as salvage therapy for high-risk Boerhaave's syndrome patients.Journal of thoracic disease · 2026Article
- Catastrophic Esophageal Tumor Perforation within One Week after First-Line Chemo-Immunotherapy for Advanced Esophageal Squamous Cell Carcinoma: A Case Report.Surgical case reports · 2026Article
- Atypical Presentation of Boerhaave Syndrome with Left Shoulder Pain as the Initial Manifestation: A Case Report.The American journal of case reports · 2025Article
- Endoscopic stent placement for perforation after pneumatic dilation in achalasia.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
- Achalasia-induced catastrophe in pregnancy: Empyema, esophageopleural fistula, septic shock, fetomaternal survival, multidisciplinary management, and literature review. A case report.International journal of surgery case reports · 2025Article
- Article
- Article
- A rare case of esophageal perforation following a choking episode with complicated course: management and outcomes.Journal of surgical case reports · 2025Article
- Screw loosening and subsequent expectoration without anatomical defect following anterior cervical discectomy and fusion for cervical myelopathy: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Esophageal perforation, a rare and serious condition, has seen a reduction in mortality from 30% to 15% over the last three decades due to advancements such as gastrointestinal stents, minimally invasive surgeries, and improved interventional radiology techniques. This review analyzes management strategies for esophageal perforation based on 14 English-language articles published from 2009 to 2024, primarily utilizing surveys and national database analyses. The management of esophageal perforation is complex, with challenges in diagnosis and treatment strategy. Despite surgery being the traditional treatment, the role of less invasive methods is growing. Effective management of esophageal perforation involves advanced imaging for diagnosis, hemodynamic stabilization, and a multidisciplinary approach to treatment, including surgical and non-surgical interventions. The evidence for different treatment outcomes remains limited, highlighting the need for comprehensive care involving thoracic surgery, interventional radiology, gastroenterology, and critical care in an intensive care unit setting.
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Registered trials
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.