Korean J Gastrointest Endosc > Volume 39(6); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(6): 359-363.
내시경 지혈 클립술로 치료한 Boerhaave 증후군 2예
장현정ㆍ김태효ㆍ이창민ㆍ주 강ㆍ하창윤ㆍ민현주ㆍ정운태ㆍ이옥재
경상대학교 의학전문대학원 내과학교실, 건강과학연구원
Two Cases of Boerhaave's Syndrome Treated by Endoscopic Hemoclipping
Hyun Jeong Jang, M.D., Tae Hyo Kim, M.D., Chang Min Lee, M.D., Kang Ju, M.D., Chang Yoon Ha, M.D., Hyun Ju Min, M.D., Woon Tae Jung, M.D. and Ok Jae Lee, M.D.
Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea
Abstract
Boerhaave's syndrome is a spontaneous esophageal perforation due to severe nausea and vomiting after hyperphagia or drinking, and it is not due to trauma, medical instrumentation or a foreign body. Untreated esophageal perforation is associated with high mortality, and the traditional treatment has been surgical drainage and primary repair of the perforation. However, non-surgical primary repair with an endoscopic procedure has recently been attempted in some selected patients with a small sized perforation, limited contamination of the mediastinum and no evidence of sepsis. We report here on 2 patients with Boerhaave's syndrome and who were successfully treated via primary repair with endoscopic hemoclips, and we review the other cases of the Boerhaave's syndrome that were treated with a endoscopic procedure. (Korean J Gastrointest Endosc 2009;39: 359-363)
Key Words: Boerhaave's syndrome, Esophageal perforation, Endoscopic hemoclip
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