A Case of Spontaneous Esophageal Rupture with Liver Cirrhosis Saved by Operation 13 Days after the Onset.

2001 ◽  
Vol 62 (1) ◽  
pp. 103-107 ◽  
Author(s):  
Tomohiko HAYASHI ◽  
Itasu NINOMIYA ◽  
Sachio FUSHIDA ◽  
Gen-ichi NISHIMURA ◽  
Tetsuo OHTA ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Rupture ◽  
Spontaneous Esophageal Rupture

scholarly journals A CASE OF SPONTANEOUS ESOPHAGEAL RUPTURE ASSOCIATED WITH LIVER CIRRHOSIS.

2003 ◽  
Vol 64 (9) ◽  
pp. 2134-2138 ◽  
Author(s):  
Eiji MEKATA ◽  
Akira KAWAGUCHI ◽  
Hiroyuki NAITO ◽  
Kazuyoshi HANASAWA ◽  
Toru TANI ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Rupture ◽  
Spontaneous Esophageal Rupture

scholarly journals Endoscopic repair of spontaneous esophageal rupture during gastroscopy

Medicine ◽  
2018 ◽  
Vol 97 (48) ◽  
pp. e13422
Author(s):  
Feiyun He ◽  
Mugen Dai ◽  
Jiwang Zhou ◽  
Jiansheng He ◽  
Bin Ye
Keyword(s):  
Esophageal Rupture ◽  
Endoscopic Repair ◽  
Spontaneous Esophageal Rupture

scholarly journals A Case of Spontaneous Esophageal Rupture to Thoracic Cavity Treated with Non-thoracotomy Drainage and Enteral Nutrition

2018 ◽  
Vol 79 (2) ◽  
pp. 308-313
Author(s):  
Koichi INUKAI ◽  
Hidehiko KITAGAMI ◽  
Minoru YAMAMOTO ◽  
Kenji KOBAYASHI ◽  
Moritsugu TANAKA ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Esophageal Rupture ◽  
Thoracic Cavity ◽  
Spontaneous Esophageal Rupture

Nine Cases of Spontaneous Esophageal Rupture

2008 ◽  
Vol 19 (5) ◽  
pp. 283-287 ◽  
Author(s):  
Koichiro Abe ◽  
Masanari Kato ◽  
Hiroaki Tsubouchi ◽  
Masayoshi Nishimoto ◽  
Makiko Fukuda ◽  
...  
Keyword(s):  
Esophageal Rupture ◽  
Spontaneous Esophageal Rupture

Transabdominal Approach for Management of Boerhaave's Syndrome

2007 ◽  
Vol 73 (5) ◽  
pp. 511-513
Author(s):  
Aamir Z. Khan ◽  
Mathew J. Forshaw ◽  
Andrew R. Davies ◽  
Taryn Youngstein ◽  
Robert C. Mason ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Stay ◽  
Best Practice ◽  
Oral Intake ◽  
Esophageal Rupture ◽  
Boerhaave’S Syndrome ◽  
Transabdominal Approach ◽  
Spontaneous Esophageal Rupture ◽  
Boerhaave's Syndrome

Several transthoracic approaches have been described for the surgical management of Boerhaave's syndrome that carry their own morbidity in patients who can be systemically unwell at presentation, and best practice is not established. We introduce a novel transabdominal approach to manage the perforation and spare these patients the trauma of a thoracotomy. Four patients with spontaneous esophageal rupture were managed using a transabdominal approach. Postoperative complications, length of intensive care unit stay, postoperative hospital stay, time to oral intake, and morbidity and mortality were used as outcome measures. After operation, the median intensive care unit stay was 4 days (range, 0–5) in patients who required a median of 10.5 days (range, 6–17) to establish oral intake. One patient required a transthoracic drainage of an empyema and one patient required percutaneous drainage of a mediastinal collection. The median length of stay was 38 days and there was zero mortality. The transabdominal approach is safe and effective for the management of Boerhaave's syndrome and should be considered in the treatment paradigm for this condition. Intrathoracic complications account for postoperative morbidity.

P166 SPONTANEOUS ESOPHAGEAL RUPTURE – BOERHAAVE SYNDROME

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
B  Movchan ◽  
O Usenko ◽  
A Zgonnyk ◽  
R Vynogradov
Keyword(s):  
Spontaneous Rupture ◽  
Pleural Cavity ◽  
Clinical Manifestations ◽  
Esophageal Rupture ◽  
Esophageal Stents ◽  
Spontaneous Esophageal Rupture ◽  
Timely Diagnosis ◽  
Boerhaave Syndrome ◽  
Surgical Tactics ◽  
Effective Drainage

Abstract Aim To study the most effective method of treatment in patients with spontaneous rupture of the esophagus. Background The timely diagnosis of Boerhaave syndrome presents great difficulties due to its rarity, a variety of clinical manifestations, often simulating different pathologies from other organs and are difficult to treat. Methods From 2003 to 2019 9 patients with Bourhave's syndrome were treated at the clinic, primary care was provided to 6 patients in the community. All patients were admitted to the clinic with external left-sided esophageal-pleural fistula, 1 patient had a spontaneous rupture of the esophagus in the cliniс, the defect of the esophagus wall defect was completed, which led to successful results. Results Treatment in the remaining patients was started with adequate enteral nutrition and effective drainage of the pleural cavity. As a result of the use of pleural double-lumen drainage with active sanation with antiseptics and subsequent aspiration, with the exception of feeding through the mouth in four patients, it was possible to eliminate the esophageal-pleural fistula, profuse bleeding and death of the patient. Against the background of ongoing conservative therapy in two patients, it was not possible to eliminate the esophago-pleural fistula. A left-sided thoracotomy was performed with excision of the fistula with the decortication of the lung and the extirpation of the esophagus with the formation of an esophagostomy. Subsequently, these patients underwent retrosternal colic esophagoplasty. Two patients underwent Lewis surgery with drainage of the pleural cavity. Conclusion Boerhaave syndrome has a very high mortality rate, however, with a timely diagnosis and adequate surgical tactics, it develops into the formation of an esophageal-pleural fistula. In this case, the most effective treatment is excision of the fistulous course with extirpation of the esophagus and subsequent esophagoplasty. The use of esophageal stents is possible in extremely depleted patients or in elderly patients, due to the frequent occurrence of hypergranular esophagitis. Esophageal stents should be removed as soon as possible when confidence in the elimination of the esophageal-pleural fistula occurs.

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