Korean J Gastrointest Endosc.
2009 Dec;39(6):359-363.
Two Cases of Boerhaave's Syndrome Treated by Endoscopic Hemoclipping
- Affiliations
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- 1Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. kimthy@medimail.co.kr
Abstract
- 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.
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