Evidence map›Paper›PMID 42226241›Full record

ArticleJournal of cardiothoracic surgery2026

The impact of modified esophageal stenting on oral intake in delayed spontaneous esophageal perforation.

Osbert Qi Yao Leow, Pin-Li Chou, Yu-Chao Wang, Shu-Chun Huang, Wei-Hsun Chen, Ching-Feng Wu, Hsin-Yueh Fang, Ching-Yang Wu, Yun-Hen Liu, Yin-Kai Chao and 1 more

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Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Osbert Qi Yao Leow *Division of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Pin-Li Chou *Division of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Yu-Chao WangCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Shu-Chun HuangCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Wei-Hsun ChenDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Ching-Feng WuDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Hsin-Yueh FangDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Ching-Yang WuDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Yun-Hen LiuDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Yin-Kai ChaoDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan.
Chien-Hung ChiuDivision of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, 5 Fu-Shing St. Kweishan, Taoyuan, 33305, Taiwan. happy9000000@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous esophageal perforation, commonly referred to as Boerhaave syndrome, is a rare but life-threatening condition with a high mortality rate. Delayed diagnosis is common due to nonspecific symptoms, and optimal treatment remains challenging. This study evaluates the outcomes of a modified esophageal stenting technique in patients with a delayed diagnosis.

methodsThis retrospective study analyzed 18 patients treated for spontaneous esophageal perforation at a tertiary medical center between July 2012 and July 2022. Patients were divided into early (< 24 h) and delayed (≥ 24 h) diagnosis groups. A modified esophageal stenting approach, which combined fully covered self-expandable metal stent (FCSEMS) placement across the esophagogastric junction with minimally invasive drainage and external fixation, was applied in selected delayed cases. Outcomes were compared between the treatment strategies.

resultsAmong the 11 patients in the delayed group, 5 underwent modified esophageal stenting. These patients had significantly lower Charlson Comorbidity Index scores and shorter operative durations compared to those receiving other treatments. Although the overall complication and mortality rates were higher in the delayed group (45.5% and 18.2%, respectively), patients treated with modified stenting were more likely to resume oral nutrition at discharge (p = 0.048), without an increase in hospital stay or postoperative complications.

conclusionsModified esophageal stenting is a promising, less invasive option for managing delayed spontaneous esophageal perforation, facilitating earlier recovery without compromising safety.

Indexed as

EatingEsophageal PerforationMediastinal DiseasesSelf Expandable Metallic StentsStentsAgedEsophageal DiseasesFemaleHumansMaleMiddle AgedRetrospective StudiesRupture, SpontaneousSpontaneous PerforationTreatment OutcomeBoerhaave syndromeDelayed diagnosisEsophageal perforationEsophageal stentingMinimally invasive managementOral intake

Identifiers

PMID42226241
PMCPMC13435605

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.