Boerhaave’s Syndrome – Over 290 Yrs of Surgical Experiences. Surgical, Endoscopic and Conservative Treatment

2016 ◽  
Vol 88 (6) ◽  
Author(s):  
Marek Rokicki ◽  
Wojciech Rokicki ◽  
Mateusz Rydel
2021 ◽  
Vol 89 (91) ◽  
Author(s):  
Orestis Ioannidis ◽  
Anastasia Malliora ◽  
Panagiotis Christidis ◽  
Efstathios Kotidis ◽  
Manousos G. Pramateftakis ◽  
...  

Author(s):  
S. D. Peter ◽  
A. H. Shitta ◽  
J. M. Njem ◽  
E. O. Igoh ◽  
A. F. Ale ◽  
...  

Boerhaave’s syndrome is a full-thickness perforation of oesophagus associated with vomiting and/or severe straining. It is a severe condition with high morbidity and mortality; the outcome is dependent on early recognition, prompt and effective intervention. It commonly presents early with mediastinitis or pleural effusion. Though uncommon, it can present late with severe chest complications which are usually managed aggressively. The present study reports a 41-year old Nigerian man with Boerhaave’s syndrome who presented with left pneumohydrothorax who was successfully managed with chest tube thoracostomy drainage and parenteral nutrition.


2009 ◽  
Vol 91 (5) ◽  
pp. 374-380 ◽  
Author(s):  
Robert P Sutcliffe ◽  
Matthew J Forshaw ◽  
Gourab Datta ◽  
Ashish Rohatgi ◽  
Dirk C Strauss ◽  
...  

INTRODUCTION The aim of this study was to review the management and outcome of patients with Boerhaave's syndrome in a specialist centre between 2000–2007. PATIENTS AND METHODS Patients were grouped according to time from symptoms to referral (early, < 24 h; late, > 24 h). The effects of referral time and management on outcomes (oesophageal leak, reoperation and mortality) were evaluated. RESULTS Of 21 patients (early 10; late 11), three were unfit for surgery. Of the remaining 18, immediate surgery was performed in 8/8 referred early and 6/10 referred late. Four patients referred late were treated conservatively. Oesophageal leak (78% versus 12.5%; P < 0.05) and mortality (40% versus 0%; P < 0.05) rates were higher in patients referred late. For patients referred late, mortality was higher in patients managed conservatively (75% versus 17%; not significant). CONCLUSIONS The best outcomes in Boerhaave's syndrome are associated with early referral and surgical management in a specialist centre. Surgery appears to be superior to conservative treatment for patients referred late.


2001 ◽  
Vol 27 (10) ◽  
pp. 1682-1682 ◽  
Author(s):  
A. Dominguez ◽  
M. J. Garcia ◽  
M. Rayo ◽  
A. Duque ◽  
R. Marrero

2009 ◽  
Vol 35 (4) ◽  
pp. 414-416 ◽  
Author(s):  
Giuseppe Spinoglio ◽  
Massimo Summa ◽  
Raoul Quarati ◽  
Silvio Testa ◽  
Fabio Priora ◽  
...  

2021 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
MajedAbdul Basit Momin ◽  
VamshidharReddy Tandra ◽  
BSaroj Kumar Prusty ◽  
RaviKanth Jakkani

2016 ◽  
pp. bcr2016217391
Author(s):  
Mohamad Atie ◽  
Graham Dunn ◽  
Gregory L Falk

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