The surgical management of spontaneous esophageal perforation (Boerhaave's syndrome) ‒ 20 years of experience.

Details

Serval ID
serval:BIB_C843176E2CD4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The surgical management of spontaneous esophageal perforation (Boerhaave's syndrome) ‒ 20 years of experience.
Journal
Bioscience Trends
Author(s)
Pezzetta E., Kokudo T., Uldry E., Yamaguchi T., Kudo H., Ris H.B., Christodoulou M., Vuilleumier H., Halkic N.
ISSN
1881-7823 (Electronic)
ISSN-L
1881-7815
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
10
Number
2
Pages
120-124
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Spontaneous esophageal perforation (Boerhaave's syndrome) is an uncommon and challenging condition with significant morbidity and mortality. Surgical treatment is indicated in the large majority of cases and different procedures have been described in this respect. We present the results of a mono-institutional evaluation of the management of spontaneous esophageal perforation over a 20-year period. The charts of 25 patients with spontaneous esophageal perforation treated at the Surgical Department of the University Hospital of Lausanne were retrospectively studied. In the 25 patients, 24 patients were surgically treated and one was managed with conservative treatment. Primary buttressed esophageal repair was performed in 23 cases. Nine postoperative complications were recorded, and the overall mortality was 32%. Despite prompt treatment postoperative morbidity and mortality are still relevant. Early diagnosis and definitive surgical management are the keys for successful outcome in the management of spontaneous esophageal perforation. Primary suture with buttressing should be considered as the procedure of choice. Conservative approach may be applied in very selected cases.
Pubmed
Web of science
Open Access
Yes
Create date
28/05/2016 10:34
Last modification date
20/08/2019 16:43
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