1970
DOI: 10.1016/s0022-5223(19)42515-4
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Atraumatic so-called “spontaneous” rupture of the esophagus

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Cited by 216 publications
(21 citation statements)
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“…Delayed diagnosis is sometimes fatal because late operation tends to result in anastomotic leakage. Despite numerous reports documenting potential treatments for esophageal rupture in cases of delayed diagnosis [including diversion and exclusion, and establishment of a controlled fistula (T‐tube), Atkinson tube and non‐surgical management], 11 –15 these are still controversial. We have described an effective method of treatment for the spontaneous rupture of the esophagus using a covered self‐expanding metallic stent.…”
Section: Discussionmentioning
confidence: 99%
“…Delayed diagnosis is sometimes fatal because late operation tends to result in anastomotic leakage. Despite numerous reports documenting potential treatments for esophageal rupture in cases of delayed diagnosis [including diversion and exclusion, and establishment of a controlled fistula (T‐tube), Atkinson tube and non‐surgical management], 11 –15 these are still controversial. We have described an effective method of treatment for the spontaneous rupture of the esophagus using a covered self‐expanding metallic stent.…”
Section: Discussionmentioning
confidence: 99%
“…The tear usually occurs vertically on the left posterolateral part of the distal oesophagus, presumably because this area is weaker and is first to give way when the intra‐oesophageal pressure is raised [1]. In our patient, however, the leak occurred on the right, which has been reported rarely [2, 4], except in the series of W alker et al [5], in which the incidence was equal on both sides. This could be caused by a diseased oesophagus, as suggested by the presence of a diverticulum seen on endoscopy 6 yrs previously.…”
Section: Discussionmentioning
confidence: 56%
“…He had also shown endoscopic evidence of duodenitis 6 yrs previously, and this may be a contributory factor to the symptoms. Peptic ulcer disease is known to occur in some patients with Boerhaave′s syndrome [2, 3]. Complete endoscopic evaluation was not possible in our case because of the development of an oesophageal stricture, but contrast studies did not show evidence of peptic ulceration.…”
Section: Discussionmentioning
confidence: 68%
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