ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
David R. Lawrence
Edward R. Townsend
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lawrence, D. R.
Right arrow Articles by Fountain, S. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lawrence, D. R.
Right arrow Articles by Fountain, S. W.

Ann Thorac Surg 1999;67:818-820
© 1999 The Society of Thoracic Surgeons

Original Articles

Primary esophageal repair for Boerhaave’s syndrome

David R. Lawrence, FRCSa, Sunil K. Ohri, FRCSa, Ruth E. Moxon, RGNa, Edward R. Townsend, FRCSa, S. William Fountain, FRCSa

a Department of Thoracic Surgery, Harefield Hospital, Harefield, Middlesex, United Kingdom

Accepted for publication August 18, 1998.

Address reprint requests to Mr Fountain, Department of Thoracic Surgery, Harefield Hospital, Harefield, Uxbridge, Middlesex UB9 6JH, United Kingdom
e-mail: w.fountain{at}rbh.nthames.nhs.uk

Background. Boerhaave’s syndrome is the most sinister cause of esophageal perforation. The mediastinal contamination with microorganisms, gastric acid, and digestive enzymes results in a mediastinitis that is often fatal if untreated.

Methods. We present a series of 21 patients seen in our unit in the 10 years 1987 to 1996. Esophageal repair was performed in 17 (81%) of them. After the resuscitation of the patient in the intensive care unit, our strategy is primary esophageal repair with a single layer of interrupted absorbable sutures combined with mediastinal toilet, mediastinal drainage, and drainage gastrostomy. The majority of patients (12/21) were referred more than 24 hours after perforation.

Results. The mean age of the patients was 60 ± 17 years. The mean stay in the intensive care unit was 1.6 ± 1.8 days and the median hospital stay, 14 days. There were three deaths, an overall mortality rate of 14.3%.

Conclusions. When combined with mediastinal toilet, mediastinal drainage, and drainage gastrostomy, primary esophageal repair for Boerhaave’s syndrome gives an acceptable mortality and should not be reserved for patients seen within 24 hours after spontaneous rupture.




This article has been cited by other articles:


Home page
 ICVTSHome page
E. Teh, J. Edwards, J. Duffy, and D. Beggs
Boerhaave's syndrome: a review of management and outcome
Interactive CardioVascular and Thoracic Surgery, October 1, 2007; 6(5): 640 - 643.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Santini, A. Fiorello, S. Cappabianca, and G. Vicidomini
Unusual case of Boerhaave syndrome, diagnosed late and successfully treated by Abbott's T-tube
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 539 - 540.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
X. B. D'Journo, C. Doddoli, J. P. Avaro, P. Lienne, M. A. Giovannini, R. Giudicelli, P. A. Fuentes, and P. A. Thomas
Long-term observation and functional state of the esophagus after primary repair of spontaneous esophageal rupture.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1858 - 1862.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Jougon and J.-F. Velly
Reply to Foroulis and Desimonas
Eur. J. Cardiothorac. Surg., October 1, 2004; 26(4): 870 - 871.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Jougon, T. Mc Bride, F. Delcambre, A. Minniti, and J.-F. Velly
Primary esophageal repair for Boerhaave's syndrome whatever the free interval between perforation and treatment
Eur. J. Cardiothorac. Surg., April 1, 2004; 25(4): 475 - 479.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. L. Port, M. S. Kent, R. J. Korst, M. Bacchetta, and N. K. Altorki
Thoracic esophageal perforations: a decade of experience
Ann. Thorac. Surg., April 1, 2003; 75(4): 1071 - 1074.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. C. Jurani, G. L. Early, and S. R. Roberts
Spontaneous esophageal perforation presenting as meningitis
Ann. Thorac. Surg., April 1, 2002; 73(4): 1294 - 1296.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Jougon, O. Cantini, F. Delcambre, A. Minniti, and J.F. Velly
Esophageal perforation: life threatening complication of endotracheal intubation
Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 7 - 11.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
H. Nehoda, K. Hourmont, R. I. Whyte, R. Gopalan, C. G. Cooke, and D. P. Harley
Boerhaave's Syndrome
N. Engl. J. Med., January 11, 2001; 344(2): 138 - 139.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Y. Ikeda, M. Niimi, Y. Sasaki, T. Shatari, H. Takami, and S. Kodaira
Thoracoscopic repair of a spontaneous perforation of the esophagus with the endoscopic suturing device
J. Thorac. Cardiovasc. Surg., January 1, 2001; 121(1): 0178 - 179.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1999 by The Society of Thoracic Surgeons.