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World J Gastroenterol. Sep 21, 2014; 20(35): 12696-12700
Published online Sep 21, 2014. doi: 10.3748/wjg.v20.i35.12696
Published online Sep 21, 2014. doi: 10.3748/wjg.v20.i35.12696
Successful surgical strategy in a late case of Boerhaave’s syndrome
Gang Shen, Ying Chai, Guo-Fei Zhang, Department of Thoracic Surgery, the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Author contributions: Shen G and Chai Y collected the data, performed the treatment and wrote the paper; Zhang GF was responsible for writing the paper and its supervision.
Correspondence to: Guo-Fei Zhang, MD, Department of Thoracic Surgery, the Second Affiliated Hospital, College of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. zetszju@yahoo.com
Telephone: +86-571-87783641 Fax: +86-571-87783642
Received: November 29, 2013
Revised: April 22, 2014
Accepted: July 24, 2014
Published online: September 21, 2014
Revised: April 22, 2014
Accepted: July 24, 2014
Published online: September 21, 2014
Core Tip
Core tip: Boerhaave’s syndrome refers to the spontaneous transmural rupture of the esophagus. The successful treatment of Boerhaave’s syndrome remains very challenging for surgeons, especially cases involving late perforations. Various strategies to repair late perforations have been previously described, but there is no uniform approach. We present a successful surgical strategy in a case of Boerhaave’s syndrome with late perforation, which involved surgical repair of the perforation and a series of drainage procedures. We consider that our strategy is safe and technically feasible, and appears to be a promising alternative approach for late Boerhaave’s perforation.