ArticleSurgical endoscopy2019
Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave's syndrome).
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Thoracoscopic repair of Boerhaave's syndrome in the prone position: A novel left-sided minimally invasive approach.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- Diagnostic challenges in boerhaave syndrome with bilateral pleural contamination: complementary roles of computed tomography, endoscopy, and video-assisted thoracoscopic surgery.Frontiers in surgery · 2026Article
- Boerhaave Syndrome-Narrative Review.Diagnostics (Basel, Switzerland) · 2025Review
- Effects of the lavage through fistula in treatment of spontaneous esophageal rupture by combined thoracoscopic and gastroscopic management.World journal of emergency surgery : WJES · 2025Article
- Treatment of Boerhaave syndrome: experience from a tertiary center.Surgical endoscopy · 2025Observational
- Multimodal therapeutic options for esophageal perforations-a single-center experience.Frontiers in surgery · 2025Article
- Robotic surgery in the management of synchronous esophageal and gastric perforation after endoscopic dilation.BMJ case reports · 2024Article
- 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
- Laparoscopic Repair of Spontaneous Esophageal Perforation After Multiple Endoscopic Failures.Cureus · 2022Article
- Subtotal esophagectomy followed by subtotal gastric reconstruction for Boerhaave's syndrome: Case report with literature review.International journal of surgery case reports · 2022Article
- Diagnostic challenge and surgical management of Boerhaave's syndrome: a case series.Journal of medical case reports · 2021Article
- Successful Late Endoscopic Stent-Grafting in a Patient with Boerhaave Syndrome.The American journal of case reports · 2021Article
- Spontaneous pneumomediastinum: an uncommon clinical problem with a potential for missed or delayed diagnosis.BMJ case reports · 2021Article
- Minimally invasive surgical management of Boerhaave's syndrome: a narrative literature review.Journal of thoracic disease · 2020Review
- Successful two-stage operation for esophageal necrosis due to proton beam therapy followed by sorafenib in a case of large hepatocellular carcinoma.Surgical case reports · 2020Article
- Article
- Management of boerhaave's syndrome in the intensive care unit.International journal of critical illness and injury scienceReview
- 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
backgroundSpontaneous esophageal perforation (Boerhaave's syndrome) is a highly morbid condition traditionally associated with poor outcomes. The Pittsburgh perforation severity score (PSS) accurately predicts risk of morbidity, length of stay (LOS) and mortality. Operative management is indicated among patients with medium (3-5) or high (> 5) PSS; however, the role of minimally invasive surgery remains uncertain.
methodsConsecutive patients presenting with Boerhaave's syndrome with intermediate or high PSS managed via a thoracoscopic and laparoscopic approach from 2012 to 2018 were reviewed. Demographics, clinical presentation, management, and outcomes were analyzed.
resultsTen patients (80% male) with a mean age of 61.3 years (range 37-81) were included. Two patients had intermediate and eight had high PSS (7.9 ± 2.8, range 4-12). The mean time from onset of symptoms to diagnosis was 27 ± 12 h and APACHE II score was 13.6 ± 4.9. Thoracoscopic debridement and primary repair was performed in eight cases, with two perforations repaired primarily over a T-tube. Laparoscopic feeding jejunostomy was performed in all patients. Critical care LOS was 8.7 ± 6.8 days (range 3-26), while inpatient LOS was 23.1 ± 12.5 days (range 14-46). Mean comprehensive complications index was 42.1 ± 26.2, with grade IIIa and IV morbidity in 60% and 10%, respectively. One patient developed dehiscence at the primary repair, which was managed non-operatively. In-hospital and 90-day mortality was 10%.
conclusionMinimally invasive surgical management of spontaneous esophageal perforation with medium to high perforation severity scores is feasible and safe, with outcomes which compare favorably to the published literature.
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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.