학술논문
일차 봉합술이 실패한 Boerhaave 증후군에서의 내시경하 Endoluminal Vacuum 치료 1예
Successful Treatment Using Endoluminal Vacuum Therapy after Failure of Primary Closure in Boerhaave Syndrome
Successful Treatment Using Endoluminal Vacuum Therapy after Failure of Primary Closure in Boerhaave Syndrome
Document Type
Article
Author
김영은 / Young Eun Kim; 도영우 / Young Woo Do; 조준용 / Joon Yong Cho; 김은수 / Eun Soo Kim; 이덕헌 / Deok Heon Lee
Source
대한소화기학회지 / The Korean Journal of Gastroenterology. Apr 30, 2019 73(4):219
Subject
Language
Korean
ISSN
1598-9992
Abstract
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.