2020, Number 4
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Revista Cubana de Cirugía 2020; 59 (4)
Therapeutic approach of Boerhaave’s syndrome
Martínez VN, Martínez HJA, Fernández DM
Language: Spanish
References: 26
Page: 1-11
PDF size: 449.10 Kb.
ABSTRACT
Introduction:
Esophageal perforation is one of the most serious and difficult emergencies that a surgeon has to face due to the characteristics and location of the organ. Such prognosis depends mainly on the speed of the diagnosis and the choice of treatment established initially.
Objectives:
To present a case with such syndrome and to review the literature to update the therapeutic approach of this entity given its high mortality.
Clinical case:
Male patient in the fifth decade of life who presented for chest pain after an emetic condition. After a radiographic study, a spontaneous rupture of the esophagus or Boerhaave syndrome was diagnosed.
Conclusions:
The appropriate therapeutic approach associated with the early and timely diagnosis of the syndrome guarantees better survival rates.
REFERENCES
Brauer RB, Lieberman-Meffert D, Stein HJ, Bartels H. Boerhaave's syndrome: analysis of the literature and report 18 new cases. DisEsophagus1997;10:64-8.
Triadafilopoulos G. Boerhaave's syndrome: Effort rupture of the esophagus. (Monografía en internet): UptoDate; Grove S. 2013 [acceso 25/07/2013]. Disponible en: http://www.uptodate.com.
Rokicki M, Rokicki W, Rydel M. Boerhaave's Syndrome - Over 290 Yrs of Surgical Experiences. Epidemiology, Pathophysiology, Diagnosis. Polish Journal of Surgery. 2016;88(6):359-64. DOI: https://doi.org/10.1515/pjs-2016-0077
Friedberg Joseph S, Maher ED. Perforaciones esofágicas en: Lippincott Williams & Wilkins editors. El dominio de la cirugía. Buenos Aires: Editorial Medica Panamericana; 2001. p. 1001-1010.
Lindeboom GA. Los grandes sistemáticos: Hermann Boerhaave (1668-138). Barcelona: Salvat. 1973;4:319-25.
Derbes VJ, Mitchell Jr. Atrocis de Hermann Boerhaave, nec descripti prius, morbi historia, la primera traducción del caso clásico de ruptura del esófago, con anotaciones. Bull Med Libr Assoc. 1955;43(2):217-40.
Soler Vaillant R. Mediastinitis aguda por perforación esofágica. Tomo III Cap. 125. La Habana: ECIMED; 2018. p. 617-21.
Cameron JL, Kiefer RF, Hendrix TR, Mehigan DG, Baker RR. Selective nonoperative management of contained intrathoracic esophageal disruption. Ann Thorac Surg. 1979;27:404-09.
Attar S, Hankins JR, Suter CM, Coughlin TR, Sequeira A, McLaughlin JS, et al. Perforación esofágica: un desafío terapéutico. Ann Thorac Surg. 1990;50(1):45-9.
Kumar P, Sarkar PK. Resultados tardíos de la reparación esofágica primaria por rotura espontánea del esófago (síndrome de Boerhaave). Int Surg. 2004;89(1):15-20.
Huber-Lang M, Henne-Bruns D, Schmitz B, Wuerl P. Perforación esofágica: principios de diagnóstico y tratamiento quirúrgico. Surg Today. 2006;36(4):332-40.
Whyte RI, Iannettoni MD, Orringer MB. Perforación esofágica intratorácica. El mérito de la reparación primaria. J Thorac Cardiovasc Surg. 1995;109(1):140-6.
Vial CM, Whyte RI. Síndrome de Boerhaave: diagnóstico y tratamiento. Surg Clin North Am. 2005;85(3):515-24.
Jougon J, Mc Bride T, Delcambre F, Minniti A, Velly JF. Reparación primaria del esófago para el síndrome de Boerhaave sea cual sea el intervalo libre entre la perforación y el tratamiento. Eur J Cardiothorac Surg. 2004;25(4):475-9.
Wang N, Razzouk AJ, Safavi A, Gan K, Van Arsdell GS, Burton PM, et al. Reparación primaria tardía de la perforación esofágica intratorácica: ¿es segura? J Thorac Cardiovasc Surg. 1996;111(1):114-2.
Port JL, Kent MS, Korst RJ, Bacchetta M, Altorki NK. Perforaciones esofágicas torácicas: una década de experiencia. Ann Thorac Surg. 2003;75(4):1071-4.
Rockbrand Campos LP, Koutsowris Sáenz S. Síndrome de Boerhaave: manejo mínimamente invasivo. Revista Médica Sinergia. 2018;4(9):e273. DOI: https://doi.org/10.31434/rms.v4i9.273
Elliott J, Buckley L, Albagir M, Athanasiou A, Murphy T. Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave's syndrome). Surgical Endoscopy. 2019;33,3494-3502. DOI: https://doi.org/10.1007/s00464-019-06863-2
Aloreidi K, Patel B, Ridgway T, Yeager T, Atiq M. Non-surgical management of Boerhaave's syndrome: a case series study and review of the literature. Endoscopy International Open. 2018;06(01): E92-E97. DOI: https://doi.org/10.1055/s-0043-124075
Cristóbal Poch L, Trébol López J. Perforación Esofágica o Síndrome de Boerhaave. Diagnóstico endoscópico y tratamiento por laparoscopia. Rev Acircal. 2015;2(2):72.
Okamoto H, Onodera K, Kamba R, Taniyama Y, Sakurai T, Heishi T, et al. Treatment of spontaneous esophageal rupture (Boerhaave syndrome) using thoracoscopic surgery and sivelestat sodium hydrate. Journal of Thoracic Disease. 2018;10(4):2206-2212. DOI: https://doi.org/10.21037/jtd.2018.03.136
Prosperi P, Alemanno G, Di Bella A, Ardu M, Maltinti G, Iacopini V, et al. A minimally invasive approach with a 3d imaging system for the treatment of esophageal perforation due to Boerhaave syndrome. Ann Ital Chir. 2018;7: S2239253X1802858X. PMID: 30569908.
He F, Dai M, Zhou J, He J, Ye B. Endoscopic repair of spontaneous esophageal rupture during gastroscopy: A CARE compliant case report. Medicine (Baltimore). 2018;97(48):e13422.
Hauge T, Kleven OC, Johnson E, Hofstad B, Johannessen HO. Outcome after stenting and débridement for spontaneous esophageal rupture. Scand. J. Gastroenterol. 2018;53(4):398-402.
Dickinson K, Buttar N, Wong Kee Song L, Gostout C, Cassivi S, Allen M, et al. Utility of endoscopic therapy in the management of Boerhaave syndrome. Endoscopy International Open. 2016;04(11):E1146-E1150. DOI: https://doi.org/10.1055/s-0042-117215
Still S, Mencio M, Ontiveros E, Burdick J, Leeds S. Primary and Rescue Endoluminal Vacuum Therapy in the Management of Esophageal Perforations and Leaks. Annals of Thoracic and Cardiovascular Surgery. 2018;24(4):173-9. DOI: https://doi.org/10.5761/atcs.oa.17-00107