Non-surgical Treatment with Endoscopic Clipping in a Patient with Boerhaave's Syndrome / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 409-412, 2008.
Article
in Korean
| WPRIM
| ID: wpr-67261
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Rupture
/
Vomiting
/
Fasting
/
Sepsis
/
Early Diagnosis
/
Drinking
/
Esophageal Perforation
/
Mediastinal Diseases
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2008
Type:
Article
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