Boerhaave's syndrome: A review of our experience over the last 16 years
Objective: Report our experience in the diagnosis and treatment of Boerhaave syndrome by retrospective study from 1997 to 2013. Patients and methods: A retrospective study was conducted covering the time frame of 1997 to 2013. Results: There were a total of 5 men (71%) and 2 women (29%) and the mean...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2014-01-01
|
Series: | Revista de Gastroenterología de México (English Edition) |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2255534X14000322 |
id |
doaj-0a4d92fed36e424b95ac98eb354665c2 |
---|---|
record_format |
Article |
spelling |
doaj-0a4d92fed36e424b95ac98eb354665c22020-11-24T21:08:06ZengElsevierRevista de Gastroenterología de México (English Edition)2255-534X2014-01-01791677010.1016/j.rgmxen.2013.11.001Boerhaave's syndrome: A review of our experience over the last 16 yearsL. Granel-VillachC. Fortea-SanchisD. Martínez-RamosG.A. Paiva-CoronelR. Queralt-MartínA. Villarín-RodríguezJ.L. Salvador-SanchisObjective: Report our experience in the diagnosis and treatment of Boerhaave syndrome by retrospective study from 1997 to 2013. Patients and methods: A retrospective study was conducted covering the time frame of 1997 to 2013. Results: There were a total of 5 men (71%) and 2 women (29%) and the mean age was 54 years (range: 33-80 years). Diagnosis was made through computed tomography scan in 5 cases (71%) and esophagogram in 2 cases (19%). Six patients (86%) had emergency surgery, whereas one case (14%) was managed conservatively. The surgical technique employed was primary suture and repair in 4 patients (67%) and esophageal resection and subsequent cervical esophagostomy in 2 patients (33%). Conclusions: Boerhaave's syndrome is a clinically rare entity with an elevated mortality rate. Therefore, a high degree of suspicion is necessary for making the diagnosis and providing early treatment that can result in improved outcome.http://www.sciencedirect.com/science/article/pii/S2255534X14000322BoerhaaveEsophagusPerforation spontaneousMediastinitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
L. Granel-Villach C. Fortea-Sanchis D. Martínez-Ramos G.A. Paiva-Coronel R. Queralt-Martín A. Villarín-Rodríguez J.L. Salvador-Sanchis |
spellingShingle |
L. Granel-Villach C. Fortea-Sanchis D. Martínez-Ramos G.A. Paiva-Coronel R. Queralt-Martín A. Villarín-Rodríguez J.L. Salvador-Sanchis Boerhaave's syndrome: A review of our experience over the last 16 years Revista de Gastroenterología de México (English Edition) Boerhaave Esophagus Perforation spontaneous Mediastinitis |
author_facet |
L. Granel-Villach C. Fortea-Sanchis D. Martínez-Ramos G.A. Paiva-Coronel R. Queralt-Martín A. Villarín-Rodríguez J.L. Salvador-Sanchis |
author_sort |
L. Granel-Villach |
title |
Boerhaave's syndrome: A review of our experience over the last 16 years |
title_short |
Boerhaave's syndrome: A review of our experience over the last 16 years |
title_full |
Boerhaave's syndrome: A review of our experience over the last 16 years |
title_fullStr |
Boerhaave's syndrome: A review of our experience over the last 16 years |
title_full_unstemmed |
Boerhaave's syndrome: A review of our experience over the last 16 years |
title_sort |
boerhaave's syndrome: a review of our experience over the last 16 years |
publisher |
Elsevier |
series |
Revista de Gastroenterología de México (English Edition) |
issn |
2255-534X |
publishDate |
2014-01-01 |
description |
Objective: Report our experience in the diagnosis and treatment of Boerhaave syndrome by retrospective study from 1997 to 2013.
Patients and methods: A retrospective study was conducted covering the time frame of 1997 to 2013.
Results: There were a total of 5 men (71%) and 2 women (29%) and the mean age was 54 years (range: 33-80 years). Diagnosis was made through computed tomography scan in 5 cases (71%) and esophagogram in 2 cases (19%). Six patients (86%) had emergency surgery, whereas one case (14%) was managed conservatively. The surgical technique employed was primary suture and repair in 4 patients (67%) and esophageal resection and subsequent cervical esophagostomy in 2 patients (33%).
Conclusions: Boerhaave's syndrome is a clinically rare entity with an elevated mortality rate. Therefore, a high degree of suspicion is necessary for making the diagnosis and providing early treatment that can result in improved outcome. |
topic |
Boerhaave Esophagus Perforation spontaneous Mediastinitis |
url |
http://www.sciencedirect.com/science/article/pii/S2255534X14000322 |
work_keys_str_mv |
AT lgranelvillach boerhaavessyndromeareviewofourexperienceoverthelast16years AT cforteasanchis boerhaavessyndromeareviewofourexperienceoverthelast16years AT dmartinezramos boerhaavessyndromeareviewofourexperienceoverthelast16years AT gapaivacoronel boerhaavessyndromeareviewofourexperienceoverthelast16years AT rqueraltmartin boerhaavessyndromeareviewofourexperienceoverthelast16years AT avillarinrodriguez boerhaavessyndromeareviewofourexperienceoverthelast16years AT jlsalvadorsanchis boerhaavessyndromeareviewofourexperienceoverthelast16years |
_version_ |
1716760860081258496 |