550 results match your criteria Boerhaave Syndrome
Medicine (Baltimore) 2018 Dec;97(49):e13191
Department of Legal and Forensic Medicine, University of Genova, Genova.
Rationale: Spontaneous esophageal rupture (Boerhaave syndrome) is a rare, though frequently fatal, event. It is generally caused by a sudden increase in pressure inside the esophagus. In some cases, full-thickness perforations of the esophagus may develop from previous lesions that initially involve only the esophageal mucosa (Mallory-Weiss syndrome) and which, following further triggering events, give rise to a transmural lesion. Read More
Br J Hosp Med (Lond) 2018 Dec;79(12):711
Emeritus Professor of Surgery, Guy's, King's and St Thomas' School of Biomedical Sciences, London SE1 1UL.
J Gastrointest Surg 2018 Nov 14. Epub 2018 Nov 14.
Department of General and Visceral Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, Bldg. W1, 48149, Muenster, Germany.
Background: Accumulating evidence indicates that anastomotic leakages and perforations of the upper gastrointestinal tract (uGIT) can be treated successfully with endoscopic vacuum therapy (EVT). So far, no data is available regarding the long-term quality of life (QoL) after successful EVT of defects in the uGIT.
Methods: We present a prospective survey on long-term Qol of 52 patients treated by EVT for defects of the uGIT. Read More
J Am Osteopath Assoc 2018 Nov;118(11):764
Mayo Clin Proc 2018 Nov;93(11):e119-e120
Dana-Farber Cancer Institute, Boston, MA.
Cir Esp 2018 Oct 10. Epub 2018 Oct 10.
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, España.
ACG Case Rep J 2018 26;5:e66. Epub 2018 Sep 26.
Division of Epidemiology and Biostatistics, Western Michigan University, MD Homer Stryker School of Medicine, Kalamazoo, MI.
Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. SIER is a rare complication of eosinophilic esophagitis (EoE); after extensive literature review, we found 7 case reports of SIER complicating EoE. We present a case of SIER complicating EoE in a 46-year-old man with an atypical presentation requiring endoscopic clipping to achieve successful hemostasis. Read More
Radiol Case Rep 2018 Oct 19;13(5):1084-1086. Epub 2018 May 19.
Readiology department; Hillel Yaffe medical center, Hadera, Israel.
Boerhaave syndrome refers to a spontaneous perforation of the esophagus that results from severe straining or vomiting. This uncommon situation may lead to serious outcome with chemical mediastinitis, and is associated with high morbidity and mortality. Surgery, although associated with high morbidity and mortality remains the treatment of choice, whereas endoscopic management with stent placement is preserved to treat inoperable patients. Read More
J Trauma Acute Care Surg 2018 Sep;85(3):653
Ann R Coll Surg Engl 2018 Aug 16:e1-e4. Epub 2018 Aug 16.
Emergency Department, Royal Blackburn Hospital , Blackburn , UK.
Small bowel obstruction is the most common surgical emergency after a patient has had abdominal surgery. However, Boerhaave syndrome secondary to an ileostomy obstruction has not been reported in current literature. We present a rare case of two concurrent surgical emergencies in a patient with Boerhaave syndrome and small bowel obstruction. Read More
Respir Med Case Rep 2018 31;25:100-103. Epub 2018 Jul 31.
Department of Medicine, Pulmonary & Critical Care Section, David Geffen School of Medicine at University of California, Los Angeles, USA.
Boerhaave syndrome, a rare yet frequently fatal diagnosis, is characterized by the spontaneous transmural rupture of the esophagus. The classic presentation of Boerhaave syndrome is characterized by Mackler's triad, consisting of chest pain, vomiting, and subcutaneous emphysema. However, Boerhaave syndrome rarely presents with all the features of Mackler's triad; instead, the common presentation of Boerhaave syndrome includes chest or epigastric pain, severe retching and vomiting, dyspnea, and shock. Read More
World J Gastroenterol 2018 Jul;24(28):3192-3197
Department of Surgery, Iwate Medical University, School of Medicine, Morioka, Iwate 020-0023, Japan.
Stent migration, which causes issues in stent therapy for esophageal perforations, can counteract the therapeutic effects and lead to complications. Therefore, techniques to regulate stent migration are important and lead to effective stent therapy. Here, in these cases, we placed a removable fully covered self-expandable metallic stent (FSEMS) in a 52-year-old man with suture failure after surgery to treat Boerhaave syndrome, and in a 53-year-old man with a perforation in the lower esophagus due to acute esophageal necrosis. Read More
Zhonghua Nei Ke Za Zhi 2018 Aug;57(8):588-591
Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China.
To investigate the clinical efficacy, feasibility and safety of new "three tubes" method in the treatment of spontaneous esophageal rupture. A total of 22 patients with spontaneous esophageal rupture were retrospectively analyzed. Through the new "three tubes" method of treatment, patients achieved leak cured with reduced hospital stay, less medical expenses and early resumption of oral diet. Read More
J R Coll Physicians Edinb 2018 Jun;48(2):155-164
School of Language, Literature, Music and Visual Culture, University of Aberdeen King's College, Aberdeen, AB24 3UB, UK,
This paper reappraises the role of medical clubs and societies in the production and consumption of knowledge in 18th-century Scotland and the wider North Atlantic world. It focuses on the Edinburgh Medical Society, founded in 1731 by Alexander Monro primus; and on the student Medical Society, founded in 1734 and constituted in 1737 as the Medical Society of Edinburgh, ultimately becoming the Royal Medical Society of Edinburgh in 1778. The paper examines how Monro, as editor of the transactions of the Edinburgh Medical Society, sought to adapt medical learning to a world of polite sociability; and how that world came under pressure in the student Medical Society, where prevailing orthodoxies, such as the system of Herman Boerhaave and, later, William Cullen, were challenged. Read More
Surg Laparosc Endosc Percutan Tech 2018 Aug;28(4):232-238
Departments of General, Visceral, and Transplant Surgery.
Purpose: Esophageal perforation constitutes a potentially life-threatening condition, and this study aimed to evaluate the indications and outcome for the different treatment modalities.
Patients And Methods: In total, 43 patients with esophageal perforation were considered for this retrospective analysis. Age, sex, length of hospital stay and intensive care treatment, in-hospital mortality, localization of perforation and etiology, treatment modality, and 90-day morbidity were analyzed. Read More
Surg Case Rep 2018 Jun 8;4(1):54. Epub 2018 Jun 8.
Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi, 464-8681, Japan.
Background: Spontaneous esophageal rupture, also known as Boerhaave syndrome, is a very serious life-threatening benign disease of the gastrointestinal tract. It is typically caused by vomiting after heavy eating and drinking. However, in our patient, because of a combination of hypopharyngeal cancer with stenosis and chemoradiotherapy (CRT), which caused chemotherapy-induced vomiting, radiotherapy-induced edema, relaxation failure, and delayed reflexes; resistance to the release of increased pressure due to vomiting was exacerbated, thus leading to Boerhaave syndrome. Read More
Ann Thorac Cardiovasc Surg 2018 Aug 7;24(4):173-179. Epub 2018 Jun 7.
Division of Minimally Invasive Surgery, Baylor University Medical Center at Dallas, Texas, USA.
Background: To investigate the efficacy of primary and rescue endoluminal vacuum (EVAC) therapy in the treatment of esophageal perforations and leaks.
Methods: We conducted a retrospective review of a prospectively gathered, Institutional Review Board (IRB) approved database of EVAC therapy patients at our center from July 2013 to September 2016.
Results: In all, 13 patients were treated for esophageal perforations or leaks. Read More
J Thorac Dis 2018 Apr;10(4):2206-2212
Department of Gastroenterological Surgery, Graduate School of Medicine, Graduate School of Medicine, Tohoku University, Sendai, Japan.
Background: The mortality rate of spontaneous esophageal rupture remains 20% to 40% due to severe respiratory failure. We have performed thoracoscopic surgery for esophageal disease at our department since 1994. Sivelestat sodium hydrate reportedly improves the pulmonary outcome in the patients with acute lung injury (ALI). Read More
Am Surg 2018 Mar;84(3):323-325
In today's medical community, when people say the name Herman Boerhaave, most assimilate it to Boerhaave syndrome. His influence on medicine is seen every day in hospitals around the world. His methodologies revolutionized medical education and the way physicians approach the examination of patients. Read More
Scand J Gastroenterol 2018 04 9;53(4):398-402. Epub 2018 Mar 9.
c Department of Pediatric and Gastrointestinal Surgery , Oslo University Hospital , Oslo , Norway.
Objectives: Surgical repair has been the most common treatment of esophageal effort rupture (Boerhaave syndrome). Stent-induced sealing of the perforation has increasingly been used with promising results. We present our eight years´ experience with stent-based and organ-preserving treatment. Read More
J Trauma Acute Care Surg 2018 Jun;84(6):1030-1032
From the Department of Cardiothoracic Surgery (X.M.H., Z.L.H.), Tongde Hospital of Zhejiang Province; and Department of Emergency (H.L.L), Hangzhou, Zhejiang, China.
Intern Med J 2018 02;48(2):222-223
Department of General Medicine, Mildura Base Hospital, Mildura, Victoria, Australia.
Rev Med Suisse 2018 Jan;14(592):299-303
Service des urgences, CHUV, 1011 Lausanne.
Boerhaave syndrome is a rare condition, usually associated with a delay in diagnosis. It is fatal in the absence of therapy. The nonspecific nature of the clinical signs contributes to the poor outcome. Read More
Pol Przegl Chir 2017 Dec;89(6):37-39
1st Department of General, Gastroenterological and Endocrine Surgery, Wroclaw Medical University, Wrocław, Poland; Department Head: Paweł Domosławski MD PhD.
We describe a 47-year-old male who was admitted to our centre from a local emergency unit with septic shock due to suspected Boerhaave syndrome. After the diagnosis was confirmed, the patient underwent emergency surgery. Postoperatively, the patient had symptoms of acute alcoholic delirium, and developed an oesophagomediastinal fistula as the most serious local complication. Read More
GE Port J Gastroenterol 2017 Jul 21;24(4):169-175. Epub 2016 Dec 21.
Gastroenterology Department, Centro Hospitalar Tondela/Viseu, Viseu, Portugal.
Introduction: The use of self-expandable metal stents (SEMS) for the treatment of postoperative leaks of the upper gastrointestinal tract is already established. However, there are discrepancies between the relatively small caliber of the esophageal stents available and the postsurgical luminal size, which may determine an inadequate juxtaposition. As colonic stents have a bigger diameter, they might be more adequate. Read More
JEMS 2017 02;42(2):20-3
J Nippon Med Sch 2017 ;84(5):241-245
Department of Emergency and Critical Care Medicine, Nippon Medical School Tama Nagayama Hospital.
Boerhaave syndrome, the spontaneous perforation of the esophagus, is an emergency, life-threatening condition. Current endoscopic treatment options include clipping and stenting, but the use of polyglycolic acid (PGA) sheets for treating the condition has not been reported. In recent years, PGA sheets have been used after endoscopic submucosal dissection to prevent perforations and stricture formation in patients treated for early-stage carcinoma. Read More
J Trauma Acute Care Surg 2017 Nov;83(5):987-989
From the Denver Health Medical Center (I.I.-Z., E.E.M.), University of Colorado School of Medicine, Department of General Surgery, Aurora, Colorado; and St. Joseph Hospital (P.E.), Denver, Colorado.
An Sist Sanit Navar 2017 Dec 29;40(3):467-470. Epub 2017 Dec 29.
Complejo Hospitalario de Navarra.
Boerhaave's syndrome is a spontaneous rupture of the oesophagus, caused by an increase of intraluminal pressure that is produced in the context of negative intrathoracic pressure. It has a high index of morbimortality (14-40%), which is why it requires early diagnosis and treatment. When a patient presents vomiting, the differential diagnosis should include epigastric pain. Read More
Dig Dis Sci 2018 May 25;63(5):1139-1142. Epub 2017 Sep 25.
Division of Gastroenterology and Hepatology, Stanford University School of Medicine, 300 Pasteur Drive, MC:5244, Stanford, CA, 94305, USA.
Clin Endosc 2018 Mar 20;51(2):186-191. Epub 2017 Sep 20.
Department of Gastroenterology, North Hospital, University of Mediterranean, Chemin des Bourrely, Marseille, France.
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. Read More
Pol Przegl Chir 2017 Aug;89(4):1-4
Department of Chest Surgery, General and Oncological Surgery University Hospital WAM and CSW, Medical University in Łódź.
Background: Esophageal perforation is a life-threatening condition of a complex etiology. No clear guidelines are available regarding the management of this condition. In this study, we review publications related to esophageal perforation, and analyze patients treated for this condition at our Department of Thoracic, General and Oncological Surgery. Read More
Dis Esophagus 2017 11;30(11):1-8
Houston Medical Center, University of Texas, Houston, Texas.
The treatment of esophageal perforation (EP) remains a significant clinical challenge. While a number of investigators have previously documented efficient approaches, these were mostly single-center experiences reported prior to the introduction of newer technologies: specifically endoluminal stents. This study was designed to document contemporary practice in the diagnosis and management of EP at multiple institutions around the world and includes early clinical outcomes. Read More
J Sleep Res 2018 Apr 7;27(2):165-174. Epub 2017 Sep 7.
Brain, Behavior & Cognition Department, Philips Group Innovation | Research, Eindhoven, the Netherlands.
Inadequate sleep impairs cognitive function and has been associated with worse academic achievement in higher education students; however, studies that control for relevant background factors and include knowledge on sleep hygiene are scarce. This study examined the association of chronic sleep reduction (i.e. Read More
Pan Afr Med J 2017;27:100. Epub 2017 Jun 8.
Department of Internal Medicine, University of Medicine and Pharmacy-Ho Chi Minh city, Vietnam.
Intern Emerg Med 2018 01 4;13(1):133-134. Epub 2017 Aug 4.
Emergency Department, Hospital Universitario de La Princesa, Madrid, Spain.
J Ayub Med Coll Abbottabad 2017 Jan-Mar;29(1):157-158
Armed Force Institute of Radiology & Imaging, Rawalpindi, Combined Military Hospital Multan, Pakistan.
Boerhaave's syndrome is a spontaneous transmural rupture or perforation of the oesophagus or post-emesis oesophageal rupture. Boerhaave's syndrome has a high risk of morbidity and mortality, and early, definitive diagnosis leading to prompt management improves outcomes. Definitive diagnosis of this syndrome is made with imaging, including x-ray, USG and computed tomography Scan. Read More
Forensic Sci Med Pathol 2018 09 15;14(3):395-401. Epub 2017 Jul 15.
School of Medicine, The University of Adelaide, Level 3 Medical School North Building, Frome Road, Adelaide, South Australia, 5005, Australia.
Although death from food is not an uncommon finding in forensic facilities worldwide, the range of underlying lethal mechanisms and associated conditions that should be sought at the time of autopsy is quite disparate. Deaths may occur from i) infectious agents including bacteria, viruses, protozoa, cestodes, nematodes and prions; ii) natural toxins including amanita toxins, tetrodotoxin, ciguatera and scombroid; iii) anaphylaxis; iv) poisoning; v) mechanical issues around airway and gut obstruction and/or perforation; and vi) miscellaneous causes. Food-related deaths are important in terms of global mortality, and thus autopsies need to be comprehensive with full ancillary testing. Read More
J Hist Med Allied Sci 2017 Jul;72(3):302-327
Medical Corps, US Army; Center for the History of Medicine, University of Glasgow; 7910 Plum Creek Drive, Gaithersburg, MD 20879, USA.
Early eighteenth-century Edinburgh provided a unique learning environment for aspiring practitioners: one in which the unity of medicine and surgery was appreciated and clinical observations and a reasoning practitioner became the well spring of proper patient care. John Rutherford, a surgical apprentice in this environment, student on the wards of London hospitals and under Boerhaave at Leiden, became one of the original medical professors at the University of Edinburgh medical school in 1726. Rutherford taught the popular, theory-based Practice of Medicine for twenty-two years. Read More
N Z Med J 2017 Jun 2;130(1456):80-82. Epub 2017 Jun 2.
General Surgery, Christchurch Hospital, Christchurch.
An 85-year-old female presented to hospital with haemoptysis. She underwent investigations which confirmed oesophageal submucosal haematoma. Oesophageal haematoma along with Mallory-Weiss and Boerhaave's syndromes make up acute mucosal injury of the oesophagus. Read More
Ned Tijdschr Geneeskd 2017 ;161:D1111
Universiteit Maastricht, Onderwijsinstituut Faculty of Health, Medicine and Life Sciences, Maastricht.
Variolation was introduced in England in the first half of the 18th century. The positive effects of this new method for preventing smallpox were already known in the Netherlands around 1720, one of whom was the Dutch physician Boerhaave. In spite of this, it took another 30 years before variolation was used in the Netherlands. Read More
Rev Esp Enferm Dig 2017 May;109(5):376
Serviço de Gastrenterologia e Hepatologia, Hospital de Santa Maria, Centro Hospitalar Lisboa .
An 18-year-old male patient with a history of atopy and intermittent dysphagia for solids, presented to the emergency department with sudden onset total dysphagia followed by hematemesis, after ingesting an ibuprofen tablet. Urgent upper gastrointestinal endoscopy revealed a deep laceration just above the tablet impacted in the distal esophagus. Abdominal CT-scan confirmed the suspicion of an esophageal perforation. Read More
Eur J Oral Sci 2017 06;125(3):227-228
Institute of Evolutionary Medicine, University of Zurich, Zurich, 8057, Switzerland.
Sao Paulo Med J 2017 Mar-Apr;135(2):190-191. Epub 2017 Apr 20.
MD, FACP, FACG. Clinical Associate Professor, Department of Medicine, Division of Gastroenterology, New York University School of Medicine/Langone Medical Center, New York, United States.
Ann Sci 2017 Apr 29;74(2):108-125. Epub 2017 Mar 29.
a Vrije Universiteit Brussel , Belgium.
In this paper I will probe into Herman Boerhaave's (1668-1738) appropriation of Isaac Newton's natural philosophy. It will be shown that Newton's work served multiple purposes in Boerhaave's oeuvre, for he appropriated Newton's work differently in different contexts and in different episodes in his career. Three important episodes in, and contexts of, Boerhaave's appropriation of Newton's natural philosophical ideas and methods will be considered: 1710-11, the time of his often neglected lectures on the place of physics in medicine; 1715, when he delivered his most famous rectorial address; and, finally, 1731/2, in publishing his Elementa chemiae. Read More
J Emerg Med 2017 Jun 21;52(6):856-858. Epub 2017 Mar 21.
Emergency Medicine and Critical Care, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
Background: A brief review of the historical aspects of esophageal rupture is presented along with a case and current recommendations for diagnostic evaluation and treatment.
Case Report: A 97-year-old woman complained of acute dyspnea without prior vomiting. Chest x-ray study showed a large right pneumothorax with associated effusion. Read More
Insights Imaging 2017 Jun 17;8(3):365-376. Epub 2017 Mar 17.
Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Ave, Box 648, Rochester, NY, 14642, USA.
Non-malignant oesophageal diseases are critical to recognize, but can be easily overlooked or misdiagnosed radiologically. In this paper, we cover the salient clinical features and imaging findings of non-malignant pathology of the oesophagus. We organize the many non-malignant diseases of the oesophagus into two major categories: luminal disorders and wall disorders. Read More
J Oral Rehabil 2017 Jun 6;44(6):452-460. Epub 2017 Apr 6.
Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands.
Obstructive sleep apnoea syndrome (OSAS) is associated with several sleep disorders and sleep-related problems. Therefore, the aim of this study was to compare the effects of a mandibular advancement device (MAD) with those of nasal continuous positive airway pressure (nCPAP) on self-reported symptoms of common sleep disorders and sleep-related problems in mild and moderate OSAS patients. In this randomised placebo-controlled trial, sixty-four OSAS patients (52·0 ± 9·6 years) were randomly assigned to an MAD, nCPAP or an intra-oral placebo appliance in a parallel design. Read More