Case of Boerhaave's syndrome successfully treated with a self-expandable metallic stent

Minimally invasive approach to Boerhaave’s syndrome

“…It has also been used sporadically to treat benign fistulas, including Boerhaave's syndrome. Two patients with chronic esophagopleural fistulas secondary to Boerhaave's syndrome reportedly were treated successfully with nitinol self-expanding coated endoprostheses [2,3]. This stent (Ultraflex, Boston Scientific, Natick, MA, USA) uses a nickel-titanium alloy that gives it a high degree of flexibility, allowing good adhesion to the esophageal wall, even in the absence of stenosis [I].…”

Spontaneous rupture of middle thoracic esophagus: thoracoscopic treatment

“…After the first case reports, case series including up to 14 or 19 patients have been published [14][15][16][17][18]. The risk of migration because the stent is not anchored in the case of spontaneous perforation compared to esophageal cancer remains an issue.…”

Stents in Gastrointestinal Endoscopy

“…Spontaneous oesophageal perforation as a result of vomiting (Boerhaave's syndrome) is a surgical emergency, requiring surgical intervention within hours of the perforation. Rarely, patients present late and there have been a handful of reports of oesophageal SEMS being used in the treatment of spontaneous oesophageal perforations if the patient has presented late (Eubanks et al, 1999;Chung et al, 2001). Iatrogenic perforations of the oesophagus are more common than spontaneous perforations.…”