Korean J Thorac Cardiovasc Surg.  2001 Nov;34(11):879-882.

Primary Repair of Boerhaave's Syndrome

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, DanKook University, Korea.

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.

Keyword

Boerhaave's syndrome; Esophagoplasty

MeSH Terms

Anti-Bacterial Agents
Drainage
Esophageal Perforation
Esophagoplasty
Humans
Pneumonia
Prognosis
Sepsis
Anti-Bacterial Agents
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