Esophageal ruptures: triage using the systemic inflammatory response syndrome score

Abstract

Esophageal rupture is a rare entity. Delay in the diagnosis and treatment may threaten the patient's life. The decision for surgical or nonsurgical treatment, however, remains controversial because advocates of both treatments have reported comparable results. To quantify the decision making, we suggest the systemic inflammatory response syndrome (SIRS) score for triage of an esophageal rupture. Using this criterion for 12 patients resulted in the survival of all of them. Therefore, we advocate use of the SIRS score for triage of an esophageal rupture.

Current Treatment and Outcome of Esophageal Perforations in Adults: Systematic Review and Meta‐Analysis of 75 Studies

“…The literature search yielded 1,142 studies. After review, 75 studies [2, 7–80] were found to be pertinent to this issue, with sources of information on 2,971 patients undergoing any treatment of esophageal perforation (Fig. 1).…”