Acute esophageal necrosis complicated by esophageal perforation is a life-threatening emergency. Perforation can lead to mediastinitis or abscess formation, making prompt recognition and urgent intervention critical to survival.
Management involves intravenous antibiotics combined with surgical intervention. The choice and sequence of surgical strategy in this setting are detailed in the full structured protocol.
DOI: 10.20524/aog.2019.0418
Prompt recognition, intravenous antibiotics and surgical intervention can be life-saving.
Surgery is reserved for perforation resulting in mediastinitis or abscess formation, and usually consists of emergent esophagectomy followed by elective reconstruction using gastric or enteric tube.
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