332 results match your criteria Boerhaave Syndrome


Boerhaave Syndrome in an Elderly Man.

Eur J Case Rep Intern Med 2018 24;5(10):000944. Epub 2018 Oct 24.

Internal Medicine Department, Centro Hospitalar de São João, Porto, Portugal.

Boerhaave syndrome is rare, has an non-specific clinical presentation and most commonly develops after persistent vomiting. Septic shock dominates the clinical picture as a result of extensive infection of the mediastinum and pleural and abdominal cavities. The current management of Boerhaave syndrome includes conservative, endoscopic and surgical treatments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12890/2018_000944DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346888PMC
October 2018

A minimally invasive approach with a 3d imaging system for the treatment of esophageal perforation due to Boerhaave syndrome.

Ann Ital Chir 2018 Dec 19;7. Epub 2018 Dec 19.

Boerhaave's syndrome is a rare life-threatening condition that requires urgent surgical management. There are various methods of managing it, with the main principles of limiting sepsis, draining the area and maintaining nutrition. Although the gold standard is open thoracotomy and/or laparotomy, mostly in patients with sepsis, we present a case of a 53-year-old man treated with a combination of laparoscopic suture (3D imaging system) of the oesophageal perforation site, decompressive percutaneous endoscopic gastrostomy and feeding jejunostomy. Read More

View Article

Download full-text PDF

Source
December 2018
3 Reads

Transition of a Mallory-Weiss syndrome to a Boerhaave syndrome confirmed by anamnestic, necroscopic, and autopsy data: A case report.

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

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00005792-201812070-0001
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000013191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310542PMC
December 2018
8 Reads

Endoscopic repair of spontaneous esophageal rupture during gastroscopy: A CARE compliant case report.

Medicine (Baltimore) 2018 Nov;97(48):e13422

Department of Gastroenterology, The Fifth Affiliated Hospital of Wenzhou Medical University.

Rationale: Most of esophageal rupture is a very serious life-threatening benign gastrointestinal tract disease with high mortality. However, there are a few cases of spontaneous esophageal rupture during gastroscopy.

Patient Concerns: A 57-year-old man who underwent a routine diagnostic gastroscopy due to food obstruction was reported. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013422DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283190PMC
November 2018
3 Reads

Long-Term Quality of Life Assessment After Successful Endoscopic Vacuum Therapy of Defects in the Upper Gastrointestinal Tract Quality of Life After EVT.

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

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11605-018-4038-9
Publisher Site
http://dx.doi.org/10.1007/s11605-018-4038-9DOI Listing
November 2018
10 Reads

Boerhaave Syndrome.

J Am Osteopath Assoc 2018 Nov;118(11):764

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7556/jaoa.2018.165DOI Listing
November 2018
2 Reads

Boerhaave syndrome presenting as gastric emphysema.

Cir Esp 2018 Oct 10. Epub 2018 Oct 10.

Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, España.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ciresp.2018.08.013DOI Listing
October 2018
3 Reads

Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping.

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

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=02075970-201805000-0006
Publisher Site
http://dx.doi.org/10.14309/crj.2018.66DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160610PMC
September 2018
4 Reads

Boerhaave syndrome in an elderly man successfully treated with 3-month indwelling esophageal stent.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.radcr.2018.04.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137399PMC
October 2018
1 Read

A rare complication of ileostomy obstruction: Boerhaave syndrome.

Authors:
D Yap M Ng N Mbakada

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2018.0129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204495PMC
August 2018
4 Reads

Tension hydropneumothorax as the initial presentation of Boerhaave syndrome.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rmcr.2018.07.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083431PMC
July 2018
3 Reads

Regulating migration of esophageal stents - management using a Sengstaken-Blakemore tube: A case report and review of literature.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3748/wjg.v24.i28.3192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064967PMC
July 2018
3 Reads

[An analysis of the new "three tubes" method in the treatment of spontaneous esophageal rupture].

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.08.010DOI Listing
August 2018
1 Read

The Role of Operation in the Treatment of Boerhaave's Syndrome.

Biomed Res Int 2018 28;2018:8483401. Epub 2018 Jun 28.

Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, China.

Purpose: This study aims to discuss the appropriate treatment strategy for spontaneous esophageal rupture.

Methods: Clinical data from twenty-one cases were retrospectively analyzed. The parameters included etiology, time interval between onset and treatment, therapy methods, prognosis, and length of stay. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/8483401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046182PMC
January 2019
2 Reads

Multimodal Treatment Strategies for Esophageal Perforation.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLE.0000000000000549DOI Listing
August 2018
4 Reads

Boerhaave syndrome due to hypopharyngeal stenosis associated with chemoradiotherapy for hypopharyngeal cancer: a case report.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-018-0462-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5993691PMC
June 2018
4 Reads

Primary and Rescue Endoluminal Vacuum Therapy in the Management of Esophageal Perforations and Leaks.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5761/atcs.oa.17-00107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102603PMC
August 2018
1 Read

Treatment of spontaneous esophageal rupture (Boerhaave syndrome) using thoracoscopic surgery and sivelestat sodium hydrate.

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

View Article

Download full-text PDF

Source
http://jtd.amegroups.com/article/view/20486/16046
Publisher Site
http://dx.doi.org/10.21037/jtd.2018.03.136DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5949456PMC
April 2018
4 Reads

Herman Boerhaave, the Dutch Hippocrates, a Forgotten Father of Medicine.

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

View Article

Download full-text PDF

Source
March 2018
15 Reads

Outcome after stenting and débridement for spontaneous esophageal rupture.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00365521.2018.1448886DOI Listing
April 2018
8 Reads

Boerhaave syndrome: Challenges in diagnosis and treatment of the early presentation and its complication.

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.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/TA.0000000000001830DOI Listing
June 2018
13 Reads

Boerhaave syndrome: a common manifestation of a rare disease.

Intern Med J 2018 02;48(2):222-223

Department of General Medicine, Mildura Base Hospital, Mildura, Victoria, Australia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/imj.13697DOI Listing
February 2018
2 Reads

[Boerhaave syndrome: update on physiopathology, diagnosis and early management].

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

View Article

Download full-text PDF

Source
January 2018
5 Reads

Barogenic rupture of esophagus (Boerhaave syndrome) as diagnostic and therapeutic challenge requiring rapid and effective interdisciplinary cooperation - case report.

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

View Article

Download full-text PDF

Source
https://ppch.pl/gicid/01.3001.0010.6750
Publisher Site
http://dx.doi.org/10.5604/01.3001.0010.6750DOI Listing
December 2017
12 Reads

Treatment of Postoperative Leaks of the Upper Gastrointestinal Tract with Colonic Self-Expandable Metal Stents.

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

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/453115
Publisher Site
http://dx.doi.org/10.1159/000453115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729955PMC
July 2017
9 Reads

Boerhaave's : Providers challenged by patient in compensatory stage of shock.

JEMS 2017 02;42(2):20-3

View Article

Download full-text PDF

Source
February 2017
3 Reads

Endoscopic Treatment of Boerhaave Syndrome Using Polyglycolic Acid Sheets and Fibrin Glue: A Report of Two Cases.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1272/jnms.84.241DOI Listing
February 2018
7 Reads

[Upper abdominal pain caused by oesophageal perforation].

Ugeskr Laeger 2017 Nov;179(45)

Boerhaave's syndrome or spontaneous oesophageal perforation is associated with significant mortality de-pending on time of diagnosis and initiation of treatment. However, the diagnosis is often delayed, as the condition mimics more frequent causes of chest- and abdominal pain. This case report describes a patient with severe upper ab-dominal and back pain following ructus in an effort to loosen a piece of candy stuck in the oesophagus. Read More

View Article

Download full-text PDF

Source
November 2017
1 Read

Boerhaave's syndrome complicated by a Saccharomyces cerevisiae pleural empyema. Case report and review of the literature.

Acta Clin Belg 2018 Oct 5;73(5):377-381. Epub 2017 Nov 5.

a Department of Intensive Care Medicine , Antwerp University Hospital, University of Antwerp , Edegem (Antwerp) , Belgium.

Objective and Importance Boerhaave's syndrome is a sudden and rare form of oesophageal rupture and is often complicated by local or systemic infection of the mediastinum or pleural cavity. Several micro-organisms are documented as cause of pleural empyema in patients with Boerhaave's syndrome. Intervention (& Technique) We report on a previously healthy 74-year-old male who was admitted at a regional hospital with severe retrosternal and abdominal pain after an episode of vigorous vomiting the morning after ingestion of large quantity of beer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17843286.2017.1398439DOI Listing
October 2018
10 Reads

Intrathoracic transmural esophageal perforation (Boerhaave syndrome): Challenges in management of the delayed presentation.

J Trauma Acute Care Surg 2017 11;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.

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=01586154-201711000-0003
Publisher Site
http://dx.doi.org/10.1097/TA.0000000000001662DOI Listing
November 2017
6 Reads

[Boerhaave's syndrome secondary to gastric volvulus].

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23938/ASSN.0042DOI Listing
December 2017
9 Reads

(Re)building the Wall: Recurrent Boerhaave Syndrome Managed by Over-the-Scope Clip and Covered Metallic Stent Placement.

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.

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10620-017-4756-y
Publisher Site
http://dx.doi.org/10.1007/s10620-017-4756-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867198PMC
May 2018
3 Reads

Role of Endoscopy in the Management of Boerhaave Syndrome.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5946/ce.2017.043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903076PMC
March 2018
21 Reads

Oesophageal perforation - therapeutic and diagnostics challenge. Retrospective, single-center case report analysis (2009-2015).

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5604/01.3001.0010.3899DOI Listing
August 2017
8 Reads

Perforated esophageal intervention focus (PERF) study: a multi-center examination of contemporary treatment.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/dote/dox093DOI Listing
November 2017
1 Read

Left hydropneumothorax in a patient with acute epigastric pain: an important clue!

Intern Emerg Med 2018 01 4;13(1):133-134. Epub 2017 Aug 4.

Emergency Department, Hospital Universitario de La Princesa, Madrid, Spain.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11739-017-1727-4DOI Listing
January 2018

Multimodality Imaging Approach For The Early Diagnosis Boerhaave Syndrome.

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

View Article

Download full-text PDF

Source
July 2017
6 Reads

Death by food.

Authors:
Roger W Byard

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12024-017-9899-9DOI Listing
September 2018
4 Reads

Intramural oesophageal haematoma-a rare complication of dabigatran.

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

View Article

Download full-text PDF

Source
June 2017
9 Reads

An unusual cause of Boerhaave´s syndrome in a young patient.

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

View Article

Download full-text PDF

Source
May 2017
10 Reads

RESPONSE TO LETTER TO THE EDITOR: Boerhaave syndrome - case report. A case of acute necrotizing esophagitis Black esophagus: new insights and multicenter international experience in 2014.

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.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1516-3180.2016.0354020117DOI Listing
April 2017
3 Reads

Hydropneumothorax Due to Esophageal Rupture.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jemermed.2017.02.006DOI Listing
June 2017
1 Read

Imaging of the oesophagus: beyond cancer.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s13244-017-0548-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438315PMC
June 2017
33 Reads

Outcomes after oesophageal perforation: a retrospective cohort study of patients with different aetiologies.

Hong Kong Med J 2017 Jun 10;23(3):231-8. Epub 2017 Mar 10.

Division of Esophageal and Upper Gastrointestinal Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.

Introduction: The mortality rate after oesophageal perforation is high despite advances in operative and non-operative techniques. In this study, we sought to identify risk factors for hospital mortality after oesophageal perforation treatment.

Methods: We retrospectively examined patients treated for oesophageal perforation in a university teaching hospital in Hong Kong between January 1997 and December 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12809/hkmj164942DOI Listing
June 2017
4 Reads

[Diagnostic investigation in emergency medicine: Why case history is crucial].

Authors:
M Mirus A R Heller

Anaesthesist 2017 Apr 13;66(4):256-264. Epub 2017 Feb 13.

Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, Fetscherstraße 74, 01307, Dresden, Deutschland.

We present the preclinical case of a patient reporting chest pain. Pain impeded physical examination. Reviewing the patient's detailed medical history after analgesia revealed a connection between the reported pain and vomiting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00101-017-0280-xDOI Listing
April 2017
5 Reads