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Korean J Gastroenterol  <  Volume 73(4); 2019 <  Articles

Korean J Gastroenterol 2019; 73(4): 219-224  https://doi.org/10.4166/kjg.2019.73.4.219
Successful Treatment Using Endoluminal Vacuum Therapy after Failure of Primary Closure in Boerhaave Syndrome
Young Eun Kim1,2, Young Woo Do1,2, Joon Yong Cho1,2, Eun Soo Kim3,4 and Deok Heon Lee1,2
Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University1, Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital2, Department of Internal Medicine, School of Medicine, Kyungpook National University3, Department of Internal Medicine, Kyungpook National University Hospital4, Daegu, Korea
Correspondence to: Deok Heon Lee, Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea. Tel: +82-53-200-5665, Fax: +82-53-426-4765, E-mail: ldhms@naver.com, ORCID: https://orcid.org/0000-0001-6206-4745
Received: June 27, 2018; Revised: September 9, 2018; Accepted: September 9, 2018; Published online: April 25, 2019.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Esophageal perforation; Endoscopy; Vacuum assisted therapy


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