Korean J Gastrointest Endosc > Volume 37(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(6): 409-412.
Boerhaave 증후군에서 내시경 Clipping이 도움이 되었던 비수술적 치료 1예
김윤경ㆍ백창렬ㆍ장우임ㆍ정성훈ㆍ이정록ㆍ정우철ㆍ이강문ㆍ양진모
가톨릭대학교 의과대학 내과학교실
Non-surgical Treatment with Endoscopic Clipping in a Patient with Boerhaave's Syndrome
Yun-Kyung Kim, M.D., Chang Nyol Paik, M.D., U-Im Chang, M.D., Sung Hoon Jung, M.D., Jeong Rok Lee, M.D., Woo Chul Chung, M.D., Kang-Moon Lee, M.D. and Jin-Mo Yang, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Boerhaave's syndrome is difficult to diagnosis because of the esophageal rupture, which is caused by nausea and vomiting, and Boerhaave's syndrome is known to have a high mortality rate. The mortality increases with a delayed diagnosis; therefore, an early diagnosis and surgical treatment are critical for a good prognosis. Yet some recent cases have shown that non-surgical treatments are successful in some classified patient groups. These groups should be considered according to their symptoms and their laboratory and radiological findings. Sepsis and multi-organ failure should be continuously checked for to see if they occurred and/or progressed. We report here on a 51 year old woman who had Boerhaave's syndrome, and this was caused by heavy drinking, nausea and vomiting, and she improved with just non-surgical treatment such as fasting, antibiotics and endoscopic clipping. (Korean J Gastrointest Endosc 2008;37:409-412)
Key Words: Boerhaave's syndrome, Non-surgical treatment, Endoscopic clipping
주요어: Boerhaave 증후군, 비수술적 치료, 내시경 clipping
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