DIAGNOSTICS AND TREATMENT OF BOERHAAVE’S SYNDROME
https://doi.org/10.24884/0042-4625-2015-174-4-73-76
Abstract
The article presents the results of diagnostics and treatment of 12 patients with Boerhaave’s syndrome (men - 9, women - 3). The age of the patients was 19- 68 years old. The prescription of spontaneous rupture of the oesophagus was 7 h- 2 days from moment of the rupture to hospital admission. General aspects of disease were noted in 10 patients, though only 5 patients were directed to the hospital with suspicion on Boerhaave’s syndrome. Emergency surgeries were performed on all patients. At first the opening was carried out, than drainage of posterior lower mediastinum were performed by Savinykh-Rozanov method with wound closure of the oesophagus walls. The complications were noted in 2 patients (the first case-pleural empyema, the second case-pulmonary embolism). Late complications, such as esophagostenosis in the place of wound closure were followed up in 3 patients in terms more than one month after operation.
About the Authors
Yu. V. Chikinev
Novosibirsk State Medical University
Russian Federation
Russian Federation
Ye. A. Drobyazgin
Novosibirsk State Medical University
Russian Federation
Russian Federation
A. S. Polyakevich
Novosibirsk State Medical University
Russian Federation
Russian Federation
I. V. Peshkova
Novosibirsk State Medical University
Russian Federation
Russian Federation
References
1. Корымасов Е. А., Бенян А. С., Пушкин С. Ю. и др. Спонтанный разрыв пищевода, осложненный распространенным гнойнонекротическим медиастинитом и сепсисом // Хирургия. 2011. № 1. С. 70-71.
2. Кочуков В. П. Клинический случай: синдром Бурхаве // Справочник поликлинического врача. М.: Медиа Медика, 2011. С. 59-60.
3. Кочуков В. П. Спонтанный разрыв пищевода (синдром Бурхаве) // Хирургия. 2012. № 7. С. 83-84.
4. Тимербулатов Ш. В., Тимербулатов В. М. Спонтанный разрыв пищевода (синдром Бурхаве) // Эндоскоп. хир. 2009. № 6. С. 48-50.
5. Черноусов А. Ф., Богопольский П. М., Курбанов Ф. С. Хирургия пищевода: Руководство для врачей. М.: Медицина, 2000. 352 с.
6. Юрасов С. Е. Спонтанный разрыв абдоминального отдела пищевода // Хирургия. 1999. № 4. С. 58.
7. Bona D., Aiolfi A., Rausa E., Bonavina L. Management of Boerhaave’s syndrome with an over-the-scope clip // Eur. J. Cardiothorac. Surg. 2014. Vol. 45, № 4. Р. 752-754.
8. Chirica M., Champault A., Dray X. et al. Esophageal perforations // J. Vasc. Surg. 2010. Vol. 147, № 3. Р. 117-128.
9. De Schipper J. P., Pull ter Gunne A. F., Oostvogel H. J. et al. Spontaneous rupture of the oesophagus: Boerhaave’s syndrome in 2008. Literature review and treat ment algorithm // Digestive Surgery. 2009. Vol. 26, № 1. P. 1-6.
10. Hill A. G., Tiu A. T., Martin I. G. Boerhaave’s syndrome: 10 years experience and review of the literature // A. N. Z. J. Surg. 2003. Vol. 73, № 12. Р. 1008-1010.
11. Khan A. Z., Strauss D., Mason R. C. Boerhaave’s syndrome: diagnosis and surgical management // Surgeon. 2007. Vol. 5, № 1. Р. 39-44.
12. Lázár G., Paszt A., Simonka Z. et al. Successful strategy for surgical treatment of Boerhaave’s syndrome // Surg. Endosc. 2011. Vol. 25, № 11. Р. 3613-3619.
13. Lee M. Boerhaave’s Syndrome // Encyclopedia of gastroenterology. 2004. Vol. 1. P. 222-223.
14. Passos Filho O., Cangussu H. C., Lopes R. H. et al. Boerhaave’s syndrome: case report // Rev. Col. Bras. Cir. 2013. Vol. 40, № 1. Р. 83-84.
15. Richardson J. D. Management of esophageal perforations: the value of aggressive surgical treatment // Am. J. Surg. 2005. Vol. 190, № 2. Р. 161-165.
16. Schweigert M., Beattie R., Solymosi N. et al. Endoscopic stent insertion versus primary operative management for spontaneous rupture of the esophagus (Boerhaave syndrome): an international study comparing the outcome // Am. Surg. 2013. Vol. 79, № 6. Р. 634-640.
17. Shen G., Chai Y., Zhang G. F. Successful surgical strategy in a late case of Boerhaave’s syndrome // World J. Gastroenterol. 2014. Vol. 20, № 35. Р. 12696-12700.
18. Tamatey M. N., Sereboe L. A., Tettey M. M. et al. Boerhaave’s syndrome: diagnosis and successful primary repair one month after the oesophageal perforation // Ghana Med J. 2013. Vol. 47, № 1. Р. 53-55.
19. Wolfson D., Barkin J. S. Treatment of Boerhaave’s syndrome // Curr. Treat. Options Gastroenterol. 2007. Vol. 10, № 1. Р. 71-77.
Review
For citations:
Chikinev Yu.V., Drobyazgin Ye.A., Polyakevich A.S., Peshkova I.V. DIAGNOSTICS AND TREATMENT OF BOERHAAVE’S SYNDROME. Grekov's Bulletin of Surgery. 2015;174(4):73-76. (In Russ.) https://doi.org/10.24884/0042-4625-2015-174-4-73-76
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