What question did this study set out to answer?

The aim is to establish an evidence-based algorithm for the initial evaluation and management of nontraumatic esophageal perforations in emergency settings.

February 25, 2026Journal of Trauma and Acute Care SurgeryOpen Access

Evidence-based, cost-effective management of nontraumatic esophageal perforations: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Work Group

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The aim is to establish an evidence-based algorithm for the initial evaluation and management of nontraumatic esophageal perforations in emergency settings.
Developed a comprehensive management algorithm based on existing literature.
Recommended procedures including initial evaluation, imaging, and various treatment options.
Categorized management strategies into nonoperative, endoscopic, and surgical approaches.
The algorithm identifies risk factors and presents guidelines for timely intervention.
It emphasizes the importance of coordinated multi-disciplinary management to reduce morbidity and mortality rates.
Reported a high success rate for specific endoscopic treatments for esophageal perforations.

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Implication

This algorithm demonstrates effective management of nontraumatic esophageal perforations in an emergency setting, suggesting practical clinical pathways.

Cite This Study

Hasson et al. (2026) studied this question.

synapsesocial.com/papers/699e9106f5123be5ed04e4a2 https://doi.org/10.1097/ta.0000000000004910

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Implication

This algorithm demonstrates effective management of nontraumatic esophageal perforations in an emergency setting, suggesting practical clinical pathways.

Evidence-based, cost-effective management of nontraumatic esophageal perforations: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Work Group

Key Points

Discussion

Implication

Cite This Study

Evidence-based, cost-effective management of nontraumatic esophageal perforations: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Work Group

Key Points

Discussion

Implication

Cite This Study

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