Multistage treatment of a patient with spontaneous rupture of the esophagus in a multidisciplinary hospital setting
Andrey E. Demko , Georgii I. Sinenchenko , Vladimir I. Kulagin , Vladimir I. Ivanov , Aleksandr I. Babich
HERALD of North-Western State Medical University named after I.I. Mechnikov ›› 2019, Vol. 11 ›› Issue (3) : 93 -95.
Multistage treatment of a patient with spontaneous rupture of the esophagus in a multidisciplinary hospital setting
The article presents a clinical case of 2-stage treatment of an elderly patient with spontaneous rupture of the esophagus. Exclusion the esophagus in the first stage of treatment with the use of minimally invasive technologies (endoscopy, laparoscopy, drainage of the pleural cavity) allowed to minimize surgical trauma and create conditions for the recovery of the patient, relief of mediastinitis, sepsis and restore the natural passage of food through the digestive tube during the second stage of treatment. The presented clinical case demonstrates the feasibility of the multistage approach using minimally invasive technology in the treatment of eldery patients with spontaneous rupture of the esophagus and severe sepsis.
Burhave syndrome / spontaneous esophageal rupture / Pittsburgh scale / multistage treatment
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Demko A.E., Sinenchenko G.I., Kulagin V.I., Ivanov V.I., Babich A.I.
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