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Do esophageal stents have a role in Boerhaave syndrome? Case reports

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Spontaneous esophageal rupture or Boerhaave syndrome results from exponentially increased intra-esophageal pressure against closed glottis leading to transmural esophageal injury. There are no classical signs and symptoms for diagnosis. Vomiting, pain, and subcutaneous emphysema are the usual triad of presentation. It may also present as nonspecific chest discomfort to rapidly progressive subcutaneous emphysema. Covered endoscopic self-expanding and removable esophageal metal stents are rapidly emerging minimally invasive techniques to manage this condition with good success. We report two cases of Boerhaave syndrome who were treated endoscopically with covered self-expanding metallic esophageal stents.

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References

  1. Whyte RI. Boerhaave’s syndrome. N Engl J Med. 2001;344:138–9.

  2. Curci JJ , Horman MJ. Boerhaave's syndrome: the importance of early diagnosis and treatment. Ann Surg. 1976;183:401–408.

  3. Attar S, Hankins JR, Suter CM, Coughlin TR, Sequeira A, McLaughlin JS. Esophageal perforation: a therapeutic challenge. Ann Thorac Surg. 1990;50:45–51.

  4. Backer CL, LoCicero J, Hartz RS, Donaldson JS, Shields T. Computed tomography in patients with esophageal perforation. Chest. 1990;98:1078–80.

  5. Fadoo F, Ruiz DE, Dawn SK, Webb WR, Gotway MB. Helical CT esophagography for the evaluation of suspected esophageal perforation or rupture. Am J Roentgen.2004;182:1177–1179.

  6. Wolfson D, Barkin JS. Treatment of Boerhaave's syndrome. Curr Treat Opt Gastroent. 2007;10:71–77.

  7. Carrott PW Jr., Low DE. Advances in the management of esophageal perforation. Thorac Surg Clin.2011;21: 541

  8. Platel J, Thomas P, Giudicelli R, Lecuyer J, Giacoia A, Fuentes P. Oesophageal perforation and rupture: a plea for conservative management. Ann Chir. 1997;51:611–616.

  9. Johnsson E, Lundell L, Liedman B. Sealing of esophageal perforation or ruptures with expandable metallic stents: a prospective controlled study on treatment efficacy and limitations. Dis Esophagus. 2005;18:262–266.

  10. Van Boeckel PG, Sijbring A,Vleggaar FP, Siersema PD. Systematic review:temporary stent placement for benign rupture or anastomotic leak of the oesophagus. Aliment Pharmacol Ther. 2011;33:1292–301.

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Acknowledgements

This was a case report, so no funding was needed. We are thankful to both patients who gave informed consent for publication.

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Correspondence to Irfan Ali Shera.

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This article does not contain any studies with human participants or animals performed by any of the authors. No need for ethical approval.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from both subjects for whom the case report was framed and included in this article.

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No requirement of funding in this study.

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Patel, S.K., Ali Shera, I. & Raj, V. Do esophageal stents have a role in Boerhaave syndrome? Case reports. Indian J Thorac Cardiovasc Surg 34, 78–80 (2018). https://doi.org/10.1007/s12055-017-0522-1

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  • DOI: https://doi.org/10.1007/s12055-017-0522-1

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