Primary Repair of Boerhaave's Syndrome.
- Author:
Jae Hyun KIM
1
;
Sam Hyun KIM
;
Seong Sik PARK
;
Soo Bin YIM
;
Pil Won SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, DanKook University, Korea.
- Publication Type:Case Report
- Keywords:
Boerhaave's syndrome;
Esophagoplasty
- MeSH:
Anti-Bacterial Agents;
Drainage;
Esophageal Perforation;
Esophagoplasty;
Humans;
Pneumonia;
Prognosis;
Sepsis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(11):879-882
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Boerhaave's syndrome has the worst prognosis of the esophageal perforation, despite the advancement in the treatment of esophageal perforation due to the development of ICU care and antibiotics. There were controversies in the treatment of esophageal perforation when diagnosed after 24hrs. From 1995 to 2000, we performed a buttressed primary repair and mediastinal drainage in 6 Boerhaave's syndrome patients among 13 esophageal perforation patients. Two patients died(33%). They died because of pneumonia, ARDS and sepsis on 38th, 39th post-operative day respectively. Two patients had leak at the site of repair which was treated completely with conservative treatment. We report on the result of a buttressed primary repair and mediastinal drainage for 6 Boerhavve's syndrome patients.
