Abstract
Since Boerhaave first described the spontaneous rupture of a healthy esophagus in 1772, case reports describing this illness have repeatedly appeared in the literature. Reports of large patient groups or prospective studies regarding the most effective treatment forms do not seem to exist. The untreated rupture of the esophagus has a mortality rate of nearly 100%. The elapsed time between the rupture and the onset of treatment has the greatest influence on the survival rate. The choice of treatment is also of critical importance and must be made in regard to the general health of the patient, the location of the rupture, and the intraoperative findings, which change depending on the elapsed time.
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References
Thal AP, Hatfuku T (1964) Improved operation for esophageal rupture. JAMA 188: 826–831
Gaa J, Deininger HK (1989) Die spontane Ösophagusruptur—Boerhaave-Syndrom. Radiologe 29: 371–376
Schwarz JA, Turnbull TL, Dymowski J, Uehara DT (1986) Boerhaave’s Syndrome: An elusive diagnosis. Am J Emerg Med 4: 532–536
Hirner A, Häring R (1981) Pathophysiologic und Klinik der spontanen Ösophagusruptur (Boerhaave-Syndrom). In: Häring R (1981) (ed) Ösophaguschirurgie. IV. Symposium “Aktuelle Chirurgie” Edition Medizin Weinheim, pp 257–277
Hafer G, Haunhorst WH, Stallkamp B (1990) Die atraumatische Ruptur des Ösophagus (Boerhaave-Syndrom). Zent. bl. Chir 115: 729–735
Wagner HE, Schroeder R (1985) Zur Behandlung der intrathorakalen Ösophagusper-foration. Helv Chir Acta 52: 647–650
Bradley SL, Pairolero PC, Payne WS, Gracey DR (1981) Spontaneous rupture of the esophagus. Arch Surg 116: 755–758
Graeber GM, Niezgoda JA, Albus RA, Burton NA, Collins GJ, Lough FC, Zajtchuk R (1987) A comparison of patients with endoscopic esophageal perforations and patients with Boerhaave’s syndrome. Chest 92: 995–998
Pate JW, Walkre WA, Cole FH, Owen EW, Johnson WH (1989) Spontaneuos rupture of the esophagus: A 30-year experience. Ann Thorac Surg 47: 689–692
Walker WS, Cameron, EW, Walbaum PR (1985) Diagnosis and management of spontaneus transmural rupture of the oesophagus ( Boerhaave’s-syndrome ). Br J Surg 72: 204–207
Fabian W (1990) Das Boerhaave-Syndrom. Fortschr. Med. 108: 134–137
Asplund CM, Hill LD (1985) Delayed lower esophageal perforation: Management with Celestin tube. Ann Otol Rhinol Laryngol 94: 114–116
Saario I, Kostiainen S, Salo J, Meurala H, Eerola S (1983) Treatment of spontaneous rupture of the esophagus. Acta Chir Scand 149: 771–774
Yellin A, Schachter P, Lieberman Y (1989) Spontaneous transmural rupture of the esophagus—Boerhaave’s syndrome. Acta Chir Scand 155: 337–340
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© 1993 Springer-Verlag Tokyo
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Kania, U., Decker, P., Siebert, C.H., Decker, D., Hirner, A. (1993). Treatment of Boerhaave’s Syndrome According to Its Clinical Manifestations. In: Nabeya, Ki., Hanaoka, T., Nogami, H. (eds) Recent Advances in Diseases of the Esophagus. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68246-2_48
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DOI: https://doi.org/10.1007/978-4-431-68246-2_48
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68248-6
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