Two Cases of Boerhaave's Syndrome Treated by Endoscopic Hemoclipping.
- Author:
Hyun Jeong JANG
1
;
Tae Hyo KIM
;
Chang Min LEE
;
Kang JU
;
Chang Yoon HA
;
Hyun Ju MIN
;
Woon Tae JUNG
;
Ok Jae LEE
Author Information
1. Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. kimthy@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Boerhaave's syndrome;
Esophageal perforation;
Endoscopic hemoclip
- MeSH:
Drainage;
Drinking;
Esophageal Perforation;
Foreign Bodies;
Humans;
Hyperphagia;
Mediastinal Diseases;
Mediastinum;
Nausea;
Sepsis;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(6):359-363
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Boerhaave's syndrome is a spontaneous esophageal perforation due to severe nausea and vomiting after hyperphagia or drinking, and it is not due to trauma, medical instrumentation or a foreign body. Untreated esophageal perforation is associated with high mortality, and the traditional treatment has been surgical drainage and primary repair of the perforation. However, non-surgical primary repair with an endoscopic procedure has recently been attempted in some selected patients with a small sized perforation, limited contamination of the mediastinum and no evidence of sepsis. We report here on 2 patients with Boerhaave's syndrome and who were successfully treated via primary repair with endoscopic hemoclips, and we review the other cases of the Boerhaave's syndrome that were treated with a endoscopic procedure.
