The Role of Operation in the Treatment of Boerhaave’s Syndrome

Abstract EN

Purpose.

This study aims to discuss the appropriate treatment strategy for spontaneous esophageal rupture.

Methods.

Clinical data from twenty-one cases were retrospectively analyzed.

The parameters included etiology, time interval between onset and treatment, therapy methods, prognosis, and length of stay.

Results.

The ratio of males/females was 17/4, age range was 32–82 years (mean = 43.1), and the time interval between onset and treatment was as follows: <24 h: nine cases (42.8%); 24–48 h: six cases (28.6%); and >72 h: six cases (28.6%).

All patients underwent operative treatment, and the following primary healing rates were achieved: <24 h: 88.9%, 24–48 h: 66.7%, and >72 h: 0.

No patients died in this study.

All patients were discharged with recovery, and the average hospitalization times were 18.1 days (<24 h), 27.8 days (24–48 h), and 51.2 days (>72 h).

Conclusions.

Surgical treatment remains an effective method for treating spontaneous esophageal rupture, and the shorter the time interval between onset and treatment, possibly the better the prognosis.