Evidence-Based Emergency Management of Esophageal Perforations

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This presentation explores an evidence-based algorithm for the management of nontraumatic esophageal perforations, serving as a bedside reference. It begins with the recognition of Mackler's triad symptoms, emphasizing the importance of excluding cardiac causes. Diagnostic techniques, including CT and esophagogram, help identify perforations. Management is based on initial findings, with criteria for non-operative strategies including endoscopic clips, suturing, and stenting for persistent...