KMID : 0602820120180010009
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Korean Journal of Bronchoesophagology 2012 Volume.18 No. 1 p.9 ~ p.12
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Surgical Treatment of Boerhaave¡¯s Syndrome
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Kim Dong-Won
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Abstract
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Boerhaave¡¯s syndrome is a very fatal condition occuring esophageal rupture during emesis and has the worst prognosis of the esophageal perforation. From May 2007 to March 2012 11 patients underwent surgical treatment for Boerhaave¡¯s syndrome at Inje University Sanggye Paik Hospital. There were 11 males whose mean age was 49.9 years ranging from 42 to 59. 2 cases of primary closure was performed and 9 cases of anastomosis using EEA (Esophago-Enteric Anastomisis) stapler. Mean operation time was 154.4 minutes and one patient who undergone primary repair died because of mediastinitis and sepsis on post-operative day. There was no leakage at other patients. Post-operative complication was one operative wound infection and one post-operative bleeding which was treated completely. Surgical treatment for Boerhaave¡¯s syndrome using EEA stapler is simple and effective technique but further studies with large number of cases should be carried out for better outcome.
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KEYWORD
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Boerhaave¡¯s syndrome, Esophageal perforation, EEA stapler
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