Endoscopic techniques and their effectiveness in the treatment of the boerhaave´s syndrome (clinical observation)

Abstract

Minimally invasive endoscopic methods are gradually being introduced in all areas of medicine. Esophageal surgery is no exception. Recently, endoscopic clipping of the mucous membrane for fresh ruptures, stenting of the esophagus and Vacuum Assisted Closure have been used in the treatment of injuries of the esophagus when radical surgery is impossible and purulent complications develop. As the techniques were mastered, they were introduced into the clinic. This article presents a clinical observation of the treatment of a 56-year-old patient with a spontaneous rupture of the esophagus (Boerhaave΄s syndrome), who at certain stages of treatment used certain endoscopic techniques that allowed to stabilize the patient in the early stages of treatment and preserve the esophagus and its functionality in the future. The duration of the patient΄s treatment in the clinic was 45 days. Subsequent follow-up examinations did not reveal any abnormalities in the patient΄s health that required surgical correction. This observation allowed us to look at the problem of treating this group of patients from a different angle and form new algorithms for treating patients using minimally invasive methods (6 figs, bibliography: 10 refs).

Keywords

Boerhaave syndrome / esophageal diseases / esophageal perforation / negative-pressure wound therapy

References

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RIGHTS & PERMISSIONS

Zubarev P.N., Dzidzava I.I., Belevich V.L., Brednev A.O., Popov V.A.