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Colegio de Medicos y Cirujanos República de Costa Rica

2015, Number 615

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Rev Med Cos Cen 2015; 72 (615)

Síndrome de Boerhaave: Generalidades y manejo basado en la evidencia

Granados MÉ

Language: Spanish
References: 25
Page: 361-366
PDF size: 227.78 Kb.


ABSTRACT

Spontaneous perforation of the esophagus: that’s the definition of Boerhaave´s syndrome. Others call it effort rupture of the esophagus. This deadly acute disease most commonly results from a sudden insult of intraesophageal versus intrathoracic pressures caused by straining or vomiting that produces shearing forces of this digestive organ, leading to complications that, without treatment, will become fatal. There are other causes of esophageal rupture that are far more common than Boerhaave´s syndrome that will not be addressed in this article, like ingestion of substances and iatrogenic perforation. However, being rare is not the same as being benign. Boerhaave´s syndrome management is far more complex than other obvious esophageal perforations, since it is spontaneous and clinically subtle in most cases. The diagnosis can be done with contrast imaging studies. Its treatment is not always surgical, and is based upon preventing further complications.


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