A Successful Strategy for Surgical Treatment of Boerhaave's Syndrome Sans Thoracotomy.

Autor: Adhikari DR; Assistant Professor, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital , Mumbai Central, India ., Tiwari AR; Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital , Mumbai Central, India ., Vankipuram S; Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital , Mumbai Central, India ., Chaphekar AP; Associate Professor, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital , Mumbai Central, India ., Satardey R; Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital , Mumbai Central, India .
Jazyk: angličtina
Zdroj: Journal of clinical and diagnostic research : JCDR [J Clin Diagn Res] 2015 Jul; Vol. 9 (7), pp. PD05-6. Date of Electronic Publication: 2015 Jul 01.
DOI: 10.7860/JCDR/2015/13517.6263
Abstrakt: Boerhaave's syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaave's syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later.
Databáze: MEDLINE