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.

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 The surgical management of spontaneous esophageal perforation (Boerhaave's syndrome) ‒ 20 years of experience

2016 ◽  
Vol 10 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Edgardo Pezzetta ◽  
Takashi Kokudo ◽  
Emilie Uldry ◽  
Takamune Yamaguchi ◽  
Hiroki Kudo ◽  
...  
Keyword(s):  
Surgical Management ◽  
Esophageal Perforation ◽  
Years Of Experience ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

scholarly journals AB048. 24. Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave’s syndrome)

2019 ◽  
Vol 3 ◽  
pp. AB048-AB048
Author(s):  
Jessie Andrea Elliott ◽  
Louise Buckley ◽  
Mohammad Albagir ◽  
Antonis Athanasiou ◽  
Thomas Murphy
Keyword(s):  
Minimally Invasive ◽  
Surgical Management ◽  
Esophageal Perforation ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Minimally Invasive Surgical

Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave’s syndrome)

2019 ◽  
Vol 33 (10) ◽  
pp. 3494-3502 ◽  
Author(s):  
Jessie A. Elliott ◽  
Louise Buckley ◽  
Mohamed Albagir ◽  
Antonios Athanasiou ◽  
Thomas J. Murphy
Keyword(s):  
Minimally Invasive ◽  
Surgical Management ◽  
Esophageal Perforation ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Minimally Invasive Surgical

scholarly journals Minimally invasive surgical management of Boerhaave’s syndrome: a narrative literature review

2020 ◽  
Vol 12 (8) ◽  
pp. 4411-4417
Author(s):  
Alberto Aiolfi ◽  
Giancarlo Micheletto ◽  
Guglielmo Guerrazzi ◽  
Gianluca Bonitta ◽  
Giampiero Campanelli ◽  
...  
Keyword(s):  
Literature Review ◽  
Minimally Invasive ◽  
Surgical Management ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Minimally Invasive Surgical ◽  
Narrative Literature ◽  
Narrative Literature Review

scholarly journals Conservative surgical management of Boerhaave's syndrome: Experience of two tertiary referral centers

2013 ◽  
Vol 11 (1) ◽  
pp. 64-67 ◽  
Author(s):  
L. Sulpice ◽  
S. Dileon ◽  
M. Rayar ◽  
B. Badic ◽  
K. Boudjema ◽  
...  
Keyword(s):  
Surgical Management ◽  
Boerhaave’S Syndrome ◽  
Tertiary Referral ◽  
Boerhaave's Syndrome
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