Do esophageal stents have a role in Boerhaave syndrome? Case reports

A rare endoscopic image of Boerhaave syndrome in a patient with pleural effusion drainage

“…Boerhaave syndrome is a pressure-induced rupture of the esophageal wall and is associated with high morbidity and mortality [1,2]. Despite reports of successful endoscopic treatment of esophageal rupture [3,4], surgery is the first-line treatment for Boerhaave syndrome, especially in stable, young patients without severe comorbidities [1,2].…”

Boerhaave syndrome treated with endoscopic suturing

“…Treatment with an esophageal stent frequently fails, eventually requiring surgery, and there is higher morbidity with esophageal stent placement than with primary surgical therapy 1 . Endoscopic stent placement has an unclear rate of success and can be complicated by mediastinal or pleural contamination and stent migration 2 . We present a case of Boerhaave syndrome treated successfully with endoscopic suturing and esophageal stent placement (Video 1, available online at www.VideoGIE.org).…”

Boerhaave Syndrome Treated with Endoscopic Suturing

“…1 Endoscopic stent placement has an unclear rate of success and can be complicated by mediastinal or pleural contamination and stent migration. 2 We present a case of Boerhaave syndrome treated successfully with endoscopic suturing and esophageal stent placement (Video 1, available online at www.VideoGIE.org). An 86-year-old man with a history of coronary artery disease, previous coronary artery bypass grafting, pulmonary hypertension, and open cholecystectomy presented to the emergency department with throat pain and substernal chest pain shortly after eating.…”