Electronic Resource
Springer
Journal of molecular medicine
66 (1988), S. 1214-1217
ISSN:
1432-1440
Keywords:
Spontaneous esophageal perforation
;
Diagnosis
;
Surgical treatment
;
Boerhaave's syndrome
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Among the different types of esophageal wall injuries Boerhaave's syndrome is associated with the highest morbidity and mortality. The classical history of retching or vomiting and retrosternal splitting pain is indicative. Roentgenograms of the chest and esophagogram with a water soluble contrast medium are able to reveal the perforation in most cases. Esophagoscopy has been recommended for diagnosis, but its use is unnecessary and frequently contraindicated. Spontaneous perforation of the esophagus should be treated by prompt surgical intervention: left side thoracotomy, direct closure of the perforation by monolayer suture, and adequate mediastinal and pleural drainage. The treatment of esophageal perforation after late diagnosis is considerably more complicated and may consist in a drainage only.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01727427
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