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KMID : 0614620190730040219
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Korean Journal of Gastroenterology
2019 Volume.73 No. 4 p.219 ~ p.224
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Successful Treatment Using Endoluminal Vacuum Therapy after Failure of Primary Closure in Boerhaave Syndrome
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Kim Yoong-Eun
Do Young-Woo
Cho Joon-Yong
Kim Eun-Soo
Lee Deok-Heon
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Abstract
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Boerhaave syndrome is a transmural perforation of the esophagus and typically occurs after forceful emesis. Boerhaave syndrome is a destructive disease with a high mortality rate, though surgical intervention within 24 hours has a beneficial effect. On the other hand, late surgical intervention is associated with poorer prognoses. Several therapeutic strategies, ranging from medical to surgical management, are available for Boerhaave syndrome. Recently, endoscopic endoluminal vacuum therapy (EVT) was introduced as a treatment option. Here, we report the case of a 56-year-old male patient with Boerhaave syndrome who was successfully treated by EVT after primary closure failure. The patient recovered without complication.
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KEYWORD
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Esophageal perforation, Endoscopy, Vacuum assisted therapy
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