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摘要:Introduction:Spontaneous esophageal rupture is a life-threatening condition which is difficult to diagnose early,and is usually treated surgically.Prolonged hospitalization is common.Non-operative treatment of esophageal rupture localized to the mediastinum has been reported.We report three patients with spontaneous esophageal rupture successfully managed with endoscopic clipping.Case Presentations:Two patients had ruptures localized to the mediastinum,and were discharged within one week of undergoing closure.The third patient presented with Boerhaave’s syndrome with a leak into the pleural space and needed prolonged hospitalization(34 days),but she did not need surgery and began oral intake two days after endoscopic clipping.The patient had an uneventful recovery.Discussion:Surgery is the treatment of choice for most patients with spontaneous esophageal rupture,but is associated with complications in14-40%of patients.Although there are many reports of non-operative treatment of spontaneous esophageal rupture localized to the mediastinum,the non-operative management of Boerhaave’s syndrome with pleural rupture is rarely reported.We suggest that endoscopic clipping is a reasonable strategy not only for patients with esophageal rupture localized to the mediastinum,but also for those with Boerhaave’s syndrome and pleural rupture.Conclusion:Endoscopic clipping is a treatment option for select patients with Boerhaave’s syndrome.
会议名称:

BIT’s 2nd Annual World Congress of Digestive Disease-2017

会议时间:

2017-12-04

会议地点:

Fukuoka, Japan

  • 专辑:

    医药卫生科技

  • 专题:

    外科学; 急救医学

  • 分类号:

    R655.4

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