Non-surgical Treatment with Endoscopic Clipping in a Patient with Boerhaave's Syndrome.
- Author:
Yun Kyung KIM
1
;
Chang Nyol PAIK
;
U Im CHANG
;
Sung Hoon JUNG
;
Jeong Rok LEE
;
Woo Chul CHUNG
;
Kang Moon LEE
;
Jin Mo YANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmcu@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Boerhaave's syndrome;
Non-surgical treatment;
Endoscopic clipping
- MeSH:
Anti-Bacterial Agents;
Drinking;
Early Diagnosis;
Esophageal Perforation;
Fasting;
Female;
Humans;
Mediastinal Diseases;
Nausea;
Prognosis;
Rupture;
Sepsis;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2008;37(6):409-412
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Boerhaave's syndrome is difficult to diagnosis because of the esophageal rupture, which is caused by nausea and vomiting, and Boerhaave's syndrome is known to have a high mortality rate. The mortality increases with a delayed diagnosis; therefore, an early diagnosis and surgical treatment are critical for a good prognosis. Yet some recent cases have shown that non-surgical treatments are successful in some classified patient groups. These groups should be considered according to their symptoms and their laboratory and radiological findings. Sepsis and multi-organ failure should be continuously checked for to see if they occurred and/or progressed. We report here on a 51 year old woman who had Boerhaave's syndrome, and this was caused by heavy drinking, nausea and vomiting, and she improved with just non-surgical treatment such as fasting, antibiotics and endoscopic clipping.
