scholarly journals Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement

2021 ◽  
Vol 89 (91) ◽  
Author(s):  
Orestis Ioannidis ◽  
Anastasia Malliora ◽  
Panagiotis Christidis ◽  
Efstathios Kotidis ◽  
Manousos G. Pramateftakis ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Stent Placement ◽  
Esophageal Stenosis ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

scholarly journals Complicated Boerhaave’s Syndrome Managed by Conservative Treatment

2020 ◽  
pp. 61-65
Author(s):  
S. D. Peter ◽  
A. H. Shitta ◽  
J. M. Njem ◽  
E. O. Igoh ◽  
A. F. Ale ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Conservative Treatment ◽  
Parenteral Nutrition ◽  
Early Recognition ◽  
Tube Thoracostomy ◽  
High Morbidity ◽  
Full Thickness ◽  
Boerhaave’S Syndrome ◽  
Severe Condition ◽  
Boerhaave's Syndrome

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.

scholarly journals Third time recurrent Boerhaave’s syndrome: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Adam Zeyara ◽  
Martin Jeremiasen ◽  
Oscar Åkesson ◽  
Dan Falkenback ◽  
Michael Hermansson ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Stent Placement ◽  
Recurrent Disease ◽  
Primary Repair ◽  
English Literature ◽  
White Male ◽  
Esophageal Disease ◽  
Boerhaave’S Syndrome ◽  
Vacuum Assisted Closure ◽  
Boerhaave's Syndrome

Abstract Background Effort rupture of the esophagus or Boerhaave’s syndrome is a rare entity, and prognosis is largely dependent on early diagnosis and treatment. Recurrent effort ruptures are very rare, only reported in a few case reports in English literature. We present a case with a third time effort rupture, and to the best of our knowledge there are no such previous publications. Furthermore, the presented case is also distinct because each episode was treated by different methods, reflecting the pathophysiology of recurrent disease as well as the last decade’s advancements in the management of esophageal perforations in our clinic and globally. Case presentation The patient is a 60-year-old White male, suffering from alcohol abuse, mild reflux esophagitis, and a history of effort esophageal ruptures on two previous occasions. He was now admitted to our ward once again because of a third bout of Boerhaave’s syndrome. The first time, 10 years ago, he was managed by thoracotomy and laparotomy with primary repair, and the second time, 5 years ago, by transhiatal mediastinal drainage through a laparotomy and endoscopic stent placement. Now he was successfully managed by endovascular vacuum-assisted closure therapy alone. Conclusions Recurrent cases of Boerhaave’s syndrome are very rare, and treatment must be tailored individually. The basic rationale is, however, no different from primary disease: (1) early diagnosis, (2) adequate drainage of extraesophageal contamination, and (3) restoration of esophageal integrity. Recurrent disease is usually contained and exceptionally suitable for primary endoscopic treatment. To cover the full panorama and difficult nature of complex esophageal disease, endoscopic modalities such as stent placement and endovascular vacuum-assisted closure, as well as the capacity for prompt extensive surgical interventions such as esophagectomy, should be readily accessible within every modern esophageal center.

scholarly journals Surgical Management of Boerhaave's Syndrome in a Tertiary Oesophagogastric Centre

2009 ◽  
Vol 91 (5) ◽  
pp. 374-380 ◽  
Author(s):  
Robert P Sutcliffe ◽  
Matthew J Forshaw ◽  
Gourab Datta ◽  
Ashish Rohatgi ◽  
Dirk C Strauss ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Surgical Management ◽  
Boerhaave’S Syndrome ◽  
Early Referral ◽  
Late Mortality ◽  
Boerhaave's Syndrome ◽  
Specialist Centre ◽  
Immediate Surgery

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.

Boerhaave's syndrome complicating acute myocardial infarction thrombolysis

2001 ◽  
Vol 27 (10) ◽  
pp. 1682-1682 ◽  
Author(s):  
A. Dominguez ◽  
M. J. Garcia ◽  
M. Rayo ◽  
A. Duque ◽  
R. Marrero
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

Thoracoscopic and Laparoscopic Esophagectomy in a Case of Spontaneous Rupture of the Esophagus (Boerhaave’s Syndrome)

2009 ◽  
Vol 35 (4) ◽  
pp. 414-416 ◽  
Author(s):  
Giuseppe Spinoglio ◽  
Massimo Summa ◽  
Raoul Quarati ◽  
Silvio Testa ◽  
Fabio Priora ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Laparoscopic Esophagectomy

A successful nonsurgical management of Boerhaave's syndrome

2021 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
MajedAbdul Basit Momin ◽  
VamshidharReddy Tandra ◽  
BSaroj Kumar Prusty ◽  
RaviKanth Jakkani
Keyword(s):  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Nonsurgical Management
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