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Comment on: intraluminal cervical esophageal perforations in rats

Experimental cervical esophageal perforations in rats

Letter to the Editor • doi:10.4328/ECAM.23 • Published: 21.10.2013

Authors

Özgür Karakurt1, Bülent Koçer1
Affiliations

1Department of Thoracic Surgery, Ankara Numune Training and Research Hospital, Ankara, Türkiye.

Corresponding Author

Özgür Karakurt

ozgurkarakurt@gmail.com

+90 530 541 87 74

To the EditorWe read with interest the paper by Çubuk et al.1 We thank the authors for sharing their experiences with us.
Despite advances in the field of surgical technique, medical equipment, and patient care, esophageal injuries still have high morbidity and mortality rates of up to 60%.2 The primary surgical repair of esophageal injury before 24 hours is a generally accepted approach in clinical practice.3
The esophageal perforation model described in the article is created by surgical dissection after exposing the cervical esophagus. This situation does not represent a typical iatrogenic injury to the cervical esophagus mostly caused by instrumentation in clinical settings where there is continued integrity of the surrounding tissue.
The localization of the perforation in the esophageal wall after endoscopic procedures in clinical practice is not classified as a prognostic factor. The difference between the anterior and lateral perforation groups in the study is explained by the support of the trachea to the anterior repaired area. A study including a group followed up conservatively with esophageal perforation created without dissection of the cervical esophagus may be designed to guide clinical practice.

References

  1. Çubuk S, Yücel O, Gözübüyük A, et al. Intraluminal cervical esophageal perforations in rats (experimental study). J Ann Eur Med. 2013;1(1):4-9. doi:10.4328/ecam.5
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  2. Wright CD. Özofagus perforasyonunun tedavisi. In: Çağırıcı U, Turhan K, eds. Erişkin Göğüs Cerrahisi. İstanbul: Nobel Matbaacılık; 2011:353-360.
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  3. Brinster CJ, Singhal S, Lee L, et al. Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004;77:1475-1483. doi:10.1016/j.athoracsur.2003.08.037
    Article PubMed Google Scholar

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About This Article

Received:
October 21, 2013
Accepted:
October 21, 2013
Published Online:
October 21, 2013
Printed:
October 21, 2013