A Successful Strategy for Surgical Treatment of Boerhaave's Syndrome Sans Thoracotomy

被引:2
作者
Adhikari, Devbrata Radhikamohan [1 ,2 ]
Tiwari, Ajeet Ramamani [1 ,2 ]
Vankipuram, Siddharth [1 ,2 ]
Chaphekar, Aniruddha Prabhakar [1 ,2 ]
Satardey, Ritesh [1 ,2 ]
机构
[1] Topiwalla Natl Med Coll, Dept Gen Surg, Bombay 400008, Maharashtra, India
[2] Bai Yamunabai Laxman Charitable Nair Hosp, Bombay, Maharashtra, India
关键词
Conservative management; Esophagostomy; Intercostal drainage;
D O I
10.7860/JCDR/2015/13517.6263
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Boerhaave's syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaave's syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later.
引用
收藏
页码:PD05 / PD06
页数:2
相关论文
共 9 条
[1]   Current Treatment and Outcome of Esophageal Perforations in Adults: Systematic Review and Meta-Analysis of 75 Studies [J].
Biancari, Fausto ;
D'Andrea, Vito ;
Paone, Rosalba ;
Di Marco, Carlo ;
Savino, Grazia ;
Koivukangas, Vesa ;
Saarnio, Juha ;
Lucenteforte, Ersilia .
WORLD JOURNAL OF SURGERY, 2013, 37 (05) :1051-1059
[2]   Esophageal perforations [J].
Chirica, M. ;
Champault, A. ;
Dray, X. ;
Sulpice, L. ;
Munoz-Bongrand, N. ;
Sarfati, E. ;
Cattan, P. .
JOURNAL OF VISCERAL SURGERY, 2010, 147 (03) :E117-E128
[3]   BOERHAAVE'S SYNDROME: LESSONS LEARNED FROM 83 CASES OVER THREE DECADES [J].
Salo, J. ;
Sihvo, E. ;
Kauppi, J. ;
Rasanen, J. .
SCANDINAVIAN JOURNAL OF SURGERY, 2013, 102 (04) :271-273
[4]   The influence of the 'golden 24-h rule' on the prognosis of oesophageal perforation in the modern era [J].
Shaker, Hudhaifah ;
Elsayed, Hany ;
Whittle, Ian ;
Hussein, Syed ;
Shackcloth, Michael .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2010, 38 (02) :216-222
[5]   Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours [J].
Soreide, Jon Arne ;
Viste, Asgaut .
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, 2011, 19
[6]  
Spapen J, 2013, CASE REP CRIT CARE, V2013
[7]   Esophageal perforation in adults - Aggressive, conservative treatment lowers morbidity and mortality [J].
Vogel, SB ;
Rout, WR ;
Martin, TD ;
Abbitt, PL .
ANNALS OF SURGERY, 2005, 241 (06) :1016-1021
[8]   Esophageal perforations: New perspectives and treatment paradigms [J].
Wu, James T. ;
Mattox, Kenneth L. ;
Wall, Matthew J., Jr. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007, 63 (05) :1173-1184
[9]   CT Features of Esophageal Emergencies [J].
Young, Catherine A. ;
Menias, Christine O. ;
Bhalla, Sanjeev ;
Prasad, Srinivasa R. .
RADIOGRAPHICS, 2008, 28 (06) :1541-1553