ArticleEndoscopy international open2018
Non-surgical management of Boerhaave's syndrome: a case series study and review of the literature.
Article in Endoscopy international open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Critical Appraisal of the Impact of Oesophageal Stents in the Management of Oesophageal Anastomotic Leaks and Benign Oesophageal Perforations: An Updated Systematic Review.World journal of surgery · 2020Pooled it
- Diagnostic Approach and Therapeutic Management of Spontaneous Esophageal Perforation (Boerhaave's Syndrome): A Systematic Review and Individual Patient-Level Pooled Analysis.Journal of clinical medicine · 2026Review
- Salvaging the Esophagus: Endoscopic Success After Damage-Control Surgery for Boerhaave Syndrome.Annals of thoracic surgery short reports · 2026Article
- Article
- Esophageal stenting and endoscopic vacuum therapy for esophageal defects: a systematic review and meta-analysis of observational studies.Annals of medicine and surgery (2012) · 2025Article
- Modified thoracoplasty for esophago-pleural fistula following Boerhaave syndrome: a case report.Journal of surgical case reports · 2025Article
- Treatment of Boerhaave syndrome: experience from a tertiary center.Surgical endoscopy · 2025Observational
- Successful Endoscopic Closure of Esophageal Perforation in Boerhaave Syndrome Using the Over-the-Scope Clip.GE Portuguese journal of gastroenterology · 2023Article
- Clinical profile and treatment outcomes of Boerhaave's syndrome: A 13-year experience from an upper gastrointestinal surgical unit.Turkish journal of surgery · 2023Article
- Article
- Minimally Invasive and Endoscopic Approach to Esophageal Perforation.The Eurasian journal of medicine · 2022Article
- Diagnostic challenge and surgical management of Boerhaave's syndrome: a case series.Journal of medical case reports · 2021Article
- Alternative management of delayed spontaneous oesophageal perforation by endoscopic stenting.BMJ case reports · 2021Article
- Laparoscopic transhiatal suture and gastric valve as a safe and feasible treatment for Boerhaave's syndrome: an Italian single center case series study.World journal of emergency surgery : WJES · 2020Article
- Boerhaave's Syndrome: Delayed Management Using Over-the-Scope Clip.The American journal of case reports · 2019Article
- Esophageal emergencies: WSES guidelines.World journal of emergency surgery : WJES · 2019Review
- Efficacy of esophageal stents as a primary therapeutic option in spontaneous esophageal perforations: a systematic review and meta-analysis of observational studies.Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND STUDY
aimsBoerhaave's syndrome (BS) is a life-threatening condition with morbidity and mortality rates as high as 50 % in some reports. Until recently, surgical intervention has been the mainstay of management plans. With advances in therapeutic endoscopy, however, there has been increasing interest in non-surgical options including endoscopic esophageal stenting. PATIENTS AND
methodsWe reviewed the medical records of all patients diagnosed with BS and managed with endoscopic interventions between November 2011 and November 2016. The following variables were collected: patient demographics, clinical presentations, locations of esophageal perforation, primary interventions, complications, and outcomes.
resultsSix patients were found to be diagnosed with BS during the study period. The median age at presentation was 55. There were 4 males and 2 females. The most common site of perforation was in the distal esophagus. The most common presenting symptom was chest pain (67 %) following an episode of vomiting or retching. Four patients (66.7 %) developed septic shock. Endoscopic treatment with a fully covered esophageal stent was the primary intervention in all patients (100 %). Interventional radiology was consulted in all cases for fluid drainage and chest tube placements. Clinical resolution of the BS was achieved in all patients (100 %) without any subsequent surgical interventions. There were no deaths within the study group, and the average follow-up duration was 2 years.
conclusionEndoscopic treatment seems to be an effective management strategy in patients with BS. We also noted satisfactory results in patients presenting with sepsis, presumably due to urgent, interventional radiology-guided fluid drainage.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.