Spontaneous Oesophageal Perforation With Simultaneous Perforated Duodenal Ulcer

Sidhu, Stan; Curran, Shane; Robinson, Gregory

doi:10.1111/j.1445-2197.1998.tb04777.x

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…Of these 12 were excluded for the following reasons: inadequate information on diagnosis, treatment or outcomes ( n = 3), cervical or iatrogenic perforations ( n = 5), paediatric population ( n = 2) and full text not available ( n = 2). The remaining 11 articles were included in the final selection – four case series 18–21 and seven case reports 22–28 …”

Section: Resultsmentioning

confidence: 99%

Management of Boerhaave syndrome in Australasia: a retrospective case series and systematic review of the Australasian literature

Allaway

Morris

Sinclair

et al. 2020

ANZ Journal of Surgery

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Background Boerhaave syndrome is a rare and life‐threatening condition characterized by a spontaneous transmural tear of the oesophagus. There remains wide variation in the condition's management with non‐operative management (NOM) and surgery being the two main treatment strategies. The aim was to review the presentation, management and outcomes for patients treated for Boerhaave syndrome at our institution and to compare these data with that previously reported within the Australasian literature. Methods A retrospective case series was performed for consecutive patients diagnosed with Boerhaave syndrome at our institution between January 2000 and January 2020. A systematic review of the Australasian literature was also performed. Results In case series, 15 patients were included (n = 2 NOM, n = 13 operative). The most common operative technique was primary repair with intercostal drainage via thoracotomy. Major complications occurred in 11 (73%) patients. Median Comprehensive Complication Index was 53.4 (interquartile range: 50). There was a significantly lower Comprehensive Complication Index associated with primary repair when compared to oesophageal resection (P = 0.01). There was one death, in the operative management group. Median length of hospital stay was 33 days (interquartile range: 58). In systematic review, 11 articles were included; four case series and seven case reports. From these, 23 patients met inclusion criteria. The majority of patients (83%) were managed operatively, with only four undergoing NOM. Seven patients died, representing an overall mortality rate of 30%. Conclusions We provide an updated overview of the management of Boerhaave syndrome within Australasia. Aggressive operative management is associated with reasonable outcomes.

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Section: Resultsmentioning

confidence: 99%

Management of Boerhaave syndrome in Australasia: a retrospective case series and systematic review of the Australasian literature

Allaway

Morris

Sinclair

et al. 2020

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Both Boerhaave's syndrome and perforated peptic ulcer are life-threatening diseases. Only three cases have been reported in the literature, and most of them were managed by resection and reconstruction via laparotomy [2][3][4]. Our first patient underwent a successful thoracoscopic repair of esophageal rupture.…”

Section: Discussionmentioning

confidence: 99%

“…The primary layer-by-layer repair of injured esophagus following meticulous removal of the devitalized tissue, minimizing contamination by decortication of thoracic empyema, sepsis control, and nutritional support are all keys to success. Synchronous presentation of spontaneous esophageal rupture and perforated peptic ulcer may contribute to the difficulty of achieving a correct diagnosis, and only a few cases have been reported in the literature [2][3][4]. We reported two patients with spontaneous esophageal rupture following perforated peptic ulcer.…”

Section: Introductionmentioning

confidence: 94%

Spontaneous esophageal rupture following perforated peptic ulcer: a report of two cases

Chang

Hung

Chan

et al. 2021

J Cardiothorac Surg

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Background Spontaneous esophageal rupture, also called Boerhaave’s syndrome, is relatively uncommon but may result in high morbidity and mortality. Synchronous presentation of spontaneous esophageal rupture and perforated peptic ulcer was rare and may contribute to the difficulty of achieving a correct diagnosis. Case presentation We reported two patients with spontaneous esophageal rupture following perforated peptic ulcer. Both patients were successfully treated with thoracoscopic primary repair of esophageal rupture. The first patient underwent peptic ulcer repair via laparotomy. The second patient underwent laparoscopic duodenorrhaphy. Both patients resumed oral intake smoothly and were discharged uneventfully. Conclusion Minimally invasive approaches are safe and feasible for both esophageal rupture and perforated peptic ulcer in patients diagnosed within 24 h and without shock.

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Spontaneous Oesophageal Perforation With Simultaneous Perforated Duodenal Ulcer

Cited by 2 publications

References 10 publications

Management of Boerhaave syndrome in Australasia: a retrospective case series and systematic review of the Australasian literature

Management of Boerhaave syndrome in Australasia: a retrospective case series and systematic review of the Australasian literature

Spontaneous esophageal rupture following perforated peptic ulcer: a report of two cases

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