[Diagnosis and treatment of oesophageal perforations].

The treatment of oesophageal perforations (EP) has primarily been a surgical issue and despite significant advances in surgery and intensive care medicine EP is continuously associated with high morbidity and mortality. Implementation of an effective treatment algorithm which steps away from the traditional surgical approach is essential for achieving a better clinical outcome. A modern treatment algorithm includes contrast computed tomography and endoscopy diagnostics and use of non- or semi-invasive procedures like selfexpanding metal stents, selective digestive decontamination and the establishment of a controlled fistula.