The influence of the ‘golden 24-h rule’ on the prognosis of oesophageal perforation in the modern era☆

Abstract

Our review confirms that an early diagnosis and management ('golden 24 h') are crucial for successful outcome in patients with rupture of the oesophagus. We reiterate the importance of critical care support, particularly in the early stages of management. For early detection, the primary and secondary care sectors need to be better educated.