volving Options in the Management of sophageal Perforation

T r t m f m t t sophageal perforation remains a devastating event that s difficult to diagnose and manage. The majority of njuries are iatrogenic and the increasing use of endocopic procedures can be expected to lead to an even igher incidence of esophageal perforation in coming ears. Accurate diagnosis and effective treatment depend n early recognition of clinical features and accurate nterpretation of diagnostic imaging. Outcome is deterined by the cause and location of the injury, the resence of concomitant esophageal disease, and the nterval between perforation and initiation of therapy.