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.