Role of Endoscopy in the Management of Boerhaave Syndrome
Clinical Endoscopy
;
: 186-191, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-713156
ABSTRACT
Boerhaave syndrome (BS) is a spontaneous esophageal perforation which carries high mortality. Surgical treatment is well established, but the development of interventional endoscopy has proposed new therapies. We expose our experience in a Gastrointestinal and Endoscopy Unit. With a retrospective, observational, open-label, single center, consecutive case series. All patients diagnosed with BS who were managed in our center were included. Treated conservatively, endoscopically or surgically, according to their clinical condition and lesion presentation. Fourteen patients were included. Ten were treated with primary surgery. One conservatively. In total, 7/14 patients required an endoscopic treatment. All required metallic stents deployment, 3 cases over-the-scope-clips concomitantly and one case a novel technique an internal drain. 6/7 cases endoscopically treated achieved complete esophageal healing. In conclusion, endoscopy is an useful tool at all stages BS management difficult diagnosis, primary treatment in selected patients and as salvage when surgery fails. With mortality rates and outcomes comparables to surgery.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Instrumentos Quirúrgicos
/
Stents
/
Estudios Retrospectivos
/
Mortalidad
/
Procedimientos Quirúrgicos Mínimamente Invasivos
/
Diagnóstico
/
Endoscopía
/
Perforación del Esófago
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Clinical Endoscopy
Año:
2018
Tipo del documento:
Artículo
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