Korean Journal of Gastrointestinal Endoscopy 2000;20(3): 198-202.
Boerhaave's syndrome에서 Histoacryl 주입에 의해 치료된 식도늑막 누공 1예 ( A Case of Esophagopleural Fistula Treated by Endoscopic Injection of Histoacryl in Boerhaave's Syndrome )
이은상(Eun Sang Lee),이돈행(Don Haeng Lee),신승용(Seung Yong Shin),이용환(Yong Whan Lee),최원(Won Choi),김범수(Pum Soo Kim),김영수(Young Soo Kim),김형길(Hyong Kil Kim),김인한(In Han Kim)
Abstract
Boerhaave's syndrome is a spontaneous tear through all the layers of the left lateral wall of the esophagus just above the diaphragm, produced by a sudden increase in esophageal pressure. Boerhaave's syndrome is a rare but grave syndrome, with a mortality rate around 40%. Most affected patients are middle-aged men who experience violent vomiting after heavy eating or alcohol intake or both. Vomiting followed by the abrupt onset of pain, dyspnea, and/or shock are the major symptoms. The most important diagnostic tool may be an upright chest X-ray. However, esophagograms and/or a chest CT may be required to locate the lesion. The management of esophagopleural fistula must be individualized, and both the patient's condition and the specific characteristics of the fistula must be considered. Successful management of patients must include adequate nutritional support and effective therapy of the associated empyema. A case of esophagopleural fistula complicated by Boerhaave's syndrome, which was successfully treated by endoscopic injection of Histoacryl , in herein reported
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