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Síndrome de Boerhaave: revisión de nuestra experiencia en los últimos 16 años

2014; Elsevier BV; Volume: 79; Issue: 1 Linguagem: Inglês

10.1016/j.rgmx.2013.11.001

2255-5528

Laura Granel Villach, Carlos Fortea‐Sanchís, David Martínez‐Ramos, Gabriel Alejandro Paiva-Coronel, Raquel Queralt Martín, Álvaro Villarín-Rodríguez, José Luis Salvador-Sanchís,

Foreign Body Medical Cases

Report our experience in the diagnosis and treatment of Boerhaave syndrome by retrospective study from 1997 to 2013.A retrospective study was conducted covering the time frame of 1997 to 2013.There were a total of 5 men (71%) and 2 women (29%) and the mean age was 54 years (range: 33-80 years). Diagnosis was made through computed tomography scan in 5 cases (71%) and esophagogram in 2 cases (19%). Six patients (86%) had emergency surgery, whereas one case (14%) was managed conservatively. The surgical technique employed was primary suture and repair in 4 patients (67%) and esophageal resection and subsequent cervical esophagostomy in 2 patients (33%).Boerhaave's syndrome is a clinically rare entity with an elevated mortality rate. Therefore, a high degree of suspicion is necessary for making the diagnosis and providing early treatment that can result in improved outcome.