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DOI: 10.1055/s-0039-1681746
STANDARDIZED PROACTIVE ENDOSCOPIC AND SURGICAL INTERVENTIONS FOR MANAGEMENT OF PATIENTS WITH BOERHAAVE SYNDROM TO REDUCE MORTALITY: A RETROSPECTIVE ANALYSIS
Publikationsverlauf
Publikationsdatum:
18. März 2019 (online)
Aims:
Boerhaave Syndrome (BS) is a post emetic transmural rupture of the oesophagus. It is a devastating event associated with a high morbidity and mortality rate. Enteric leakage into the thoracic or abdominal cavity causes mediastinitis, sepsis and multisystem organ failure. New strategy combining minimal invasive tools and interdisciplinary therapy was introduced to treat patients with a rupture of the oesophagus following a standard operating procedure.
Methods:
We review treatment results of BS patients treated in a 10 year period started in 2007 at our university hospital.
Results:
12 patients with BS were detected during this period. All BS-patients were treated at intensive care units. One patient died within 72 days of the oesophageal rupture. Patients treated following the interdisciplinary strategy survived sepsis and recovered independently of latency between start of symptoms and start of therapy.
Conclusions:
Proactive interdisciplinary approach following the SOP in patients with BS was associated with a mortality rate of 8.33% and a 30-days-mortality of 0% respectively. We present this successful treatment strategy for patients with BS.