Spontaneous Rupture of the Esophagus

Symbas, Panagiotis N.; Hatcher, Charles R.; Harlaftis, N

doi:10.1097/00000658-197806000-00008

Cited by 38 publications

(8 citation statements)

References 9 publications

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“…Diagnostic errors are prevalent; the most common misdiagnosis is perforated ulcer, followed by myocardial infarction, pulmonary embolism, dissecting aneurysm and pancreatitis [7, 8]. Diagnosis can be made earlier and more accurate with additional radiological examinations such as CT scan [9] (fig.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008

Schipper

Gunne²,

Oostvogel³

et al. 2009

Dig Surg

175

160

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Objective: Boerhaave’s syndrome is a spontaneous rupture of the oesophagus with a lack of diagnostic and treatment consistency in the literature. Therefore, we reviewed all published literature in order to design a treatment algorithm based on the literature. Study Design: A systematic literature review written in the English language since 1975. Results: We reviewed all known literature. Treatment of the Boerhaave syndrome was divided into three categories: conservative, endoscopic and surgical approach. The survival rate of all treatments was 75, 100 and 81%, respectively. Conclusion: Boerhaave’s syndrome should be treated endoscopically when diagnosed within 48 h and when there are no signs of sepsis. However, when a patient is diagnosed within 48 h and has a septic profile, thoracotomy with hemifundoplication and pleural/mediastinal drainage should be performed; and in case of intra-abdominal leakage, a laparotomy for local repair should be performed. When a patient is diagnosed after 48 h, conservative treatment should be followed and only when a patient gets a septic profile is surgical treatment indicated.

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Section: Introductionmentioning

confidence: 99%

Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008

Schipper

Gunne²,

Oostvogel³

et al. 2009

Dig Surg

175

160

View full text Add to dashboard Cite

show abstract

“…The most common misdiagnosis is perforated ulcer, myocardial infarction, pulmonary embolism, dissecting aneurysm and pancreatitis [8,9]. In our data collective, thirteen patients were undergone unnecessary exploration surgery because of initial diagnostic mistakes and most often it was done in hospitals with inadequate clinical experience in thoracic surgery.…”

Section: Discussionmentioning

confidence: 97%

Diagnosis, management and outcomes of thoracic esophageal perforation

Panko¹,

Karpitski²,

Shestjuk³

et al. 2014

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Introduction: Esophageal perforation has been considered a catastrophic and often life-threatening event.Aim of the research: To show the results and difficulties in the management of esophageal perforation based on the experience of our department of thoracic surgery as well as data obtained from other hospitals. Material and methods: We performed a retrospective analysis of the management of 103 patients (mean age: 49.4 ±3.1) treated during the period of 1997-2011. Open surgery historical control group (94 patients) was compared with patients (9 cases) who had undergone video-assisted thoracoscopic surgery nonresection procedure in our hospital. Results: Data analysis has revealed that 32 (31%) of all patients were not recognized as a "thoracic esophageal injury" at the first examination. Despite the fact that more than 80% of patients were hospitalized on the first day, in 42 cases (40.8%), surgical treatment was applied after 24 h (52.1 ±7.8). Sixty-percent patients of control group were complicated by postoperative morbidity resulted in higher (p < 0.05) mortality rate (35.1%) and hospital stay time (41.2 ±6.1 days), then VATS management of patients who had 11.1% postoperative mortality and 26.5 ±5.6 days of hospital stay. Conclusions: Esophageal perforations are rare pathology and due to the rarity of this condition and its often nonspecific presentation, the surgical treatment of it is delayed in more than 40% of patients, which leads to death of every third patient. Video-assisted thoracoscopic surgery with adequate drain perforation has had advantages in comparison with standard open surgical techniques in treatment of patients with delayed perforation and severe inflammatory reaction.

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“…In general, although high, overall mortality rates for esophageal perforations are decreasing with new advances in surgical care and improved recognition of this condition 13 . 14 Early diagnosis of esophageal perforations may reduce mortality rates because studies comparing early intervention (<24 h) have demonstrated improved survival compared with late treatment (>24 h) 11 , 15 –20 …”

Section: Review Of Mortality and Morbidity Associated With Spontanmentioning

confidence: 99%

Treatment of chronic contained spontaneous esophageal perforations

McNamee

Meyns

Singh

et al. 2000

Diseases of the Esophagus

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Spontaneous esophageal perforations are associated with a high mortality and morbidity without surgery. The treatment mortality for early (<24) and late (>24 h) spontaneous esophageal perforations is reviewed as well as all recent cases of chronic spontaneous esophageal perforations. Chronic esophageal perforations with mediastinal cavities may be best treated by internal drainage of the cavity into the esophagus in order to convert the transmural perforation into an intramural esophageal dissection.

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Spontaneous Rupture of the Esophagus

Cited by 38 publications

References 9 publications

Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008

Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008

Diagnosis, management and outcomes of thoracic esophageal perforation

Treatment of chronic contained spontaneous esophageal perforations

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