Surgeon. 2007 Feb;5(1):39-44.

Boerhaave's syndrome: diagnosis and surgical management.

Source

Department of Surgery Guys and St Thomas NHS Foundation Trust, St Thomas Hospital, First Floor North Wing, Lambeth Palace Road, London, SE1 7EH, UK. aamirzkhan@yahoo.com

Abstract

Spontaneous oesophageal perforation, or Boerhaave's syndrome, represents barogenic oesophageal injury. Patients don't always present with classical features and treatment may be delayed. Various approaches and strategies have been described but, despite advances in surgery and critical care, the condition continues to carry a high morbidity and mortality. Primary repair may be undertaken in patients who present within 24 hours of perforation and remains the gold standard. Increasingly, this strategy is being adopted for patients who present later with similar mortality rates. Diversion with exclusion and resectional procedures may be undertaken when repair is not possible.

Comment in

Surgeon. 2009 Feb;7(1):61; author reply 61.

PMID:: 17313127; [PubMed - indexed for MEDLINE]

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Cited by 2 PubMed Central articles

Adequate debridement and drainage of the mediastinum using open thoracotomy or video-assisted thoracoscopic surgery for Boerhaave's syndrome. [Surg Endosc. 2011]
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