Management of upper gastrointestinal perforations. Issue 9 (September 2022)

• Record Type: Journal Article
• Authors: Moore, Emily; Abbassi-Ghadi, Nima
• Is Part Of: Surgery. Volume 40:Issue 9(2022)
• Page Start: 619
• Page End: 624
• Publication Date: 2022-09
• Subjects: Boerhaave's -- Esosponge -- gastroduodenal perforation -- oesophageal perforation; Surgery -- Periodicals; Surgery -- Periodicals; Chirurgie -- Périodiques; Thérapeutique -- Périodiques; Electronic journals; 617
• DOI: 10.1016/j.mpsur.2022.05.026
• Languages: English
• ISSNs: 0263-9319

Abstract

Abstract: Perforation of the upper gastrointestinal (UGI) tract is a surgical emergency. Causes of oesophageal perforation include spontaneous (Boerhaave's), iatrogenic or foreign body ingestion. Perforation of the stomach and duodenum is most often caused by peptic ulcer disease. Management involves obtaining an accurate clinical diagnosis, through a combination of patient assessment, imaging and endoscopy. It is important to differentiate intramural from full thickness oesophageal perforations as this will guide the definitive surgical or endoscopic management. Perioperative care of these patients is as important as the definitive management step. This article will summarise an approach to managing perforation of the UGI tract; from initial assessment to postoperative care.