Syndrome de Boerhaave : mise au point sur la physiopathologie, le diagnostic et le traitement précoce [Boerhaave syndrome: update on physiopathology, diagnosis and early management]

Details

Serval ID
serval:BIB_17B522E9AC9B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Syndrome de Boerhaave : mise au point sur la physiopathologie, le diagnostic et le traitement précoce [Boerhaave syndrome: update on physiopathology, diagnosis and early management]
Journal
Revue medicale suisse
Author(s)
Lu H., Carron P.N., Godat S., Pittet R.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
31/01/2018
Peer-reviewed
Oui
Volume
14
Number
592
Pages
299-303
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Boerhaave syndrome is a rare condition, usually associated with a delay in diagnosis. It is fatal in the absence of therapy. The nonspecific nature of the clinical signs contributes to the poor outcome. This syndrome should be suspected in patients with severe chest or abdominal pain, associated with a history of vomiting, clinical signs of pneumomediastinum (subcutaneous emphysema, pleural effusion) and rapid clinical deterioration. Prompt diagnosis and initial management by the primary care physician and the emergency department physician are key elements of a better outcome. This article will review the pathogenesis, clinical manifestations, diagnosis and treatment of Boerhaave syndrome in adults.
Keywords
Adult, Esophageal Perforation/diagnosis, Esophageal Perforation/physiopathology, Esophageal Perforation/therapy, Humans, Mediastinal Diseases/diagnosis, Mediastinal Diseases/physiopathology, Mediastinal Diseases/therapy, Mediastinal Emphysema, Pleural Effusion
Pubmed
Create date
01/02/2018 17:30
Last modification date
20/08/2019 12:47
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