Korean J Gastrointest Endosc.  2009 Dec;39(6):359-363.

Two Cases of Boerhaave's Syndrome Treated by Endoscopic Hemoclipping

Affiliations
  • 1Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. kimthy@medimail.co.kr

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.

Keyword

Boerhaave's syndrome; Esophageal perforation; Endoscopic hemoclip

MeSH Terms

Drainage
Drinking
Esophageal Perforation
Foreign Bodies
Humans
Hyperphagia
Mediastinal Diseases
Mediastinum
Nausea
Sepsis
Vomiting
Esophageal Perforation
Mediastinal Diseases
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