Long-term observation and functional state of the esophagus after primary repair of spontaneous esophageal rupture

The Annals of Thoracic Surgery
Xavier Benoit D'JournoPascal A Thomas

Abstract

Long-term outcome of patients treated for a spontaneous esophageal rupture (Boerhaave's syndrome) is seldom reported. From 1989 to 2004, 62 esophageal perforations were treated in a single institution. Eighteen patients presented with a spontaneous esophageal rupture. Among them, 15 could be treated with a transthoracic primary repair and constituted the material of the present study. A chart review was performed with special attention to survival, residual symptoms, and anatomic and motility disorders. Three patients died postoperatively (20%). At last follow-up, 10 patients were alive and 2 had died from unrelated causes. At a median delay of 13 months (3 to 74), 7 patients accepted to undergo complementary investigations. None of them had any anatomic abnormality as checked by barium swallow. Six patients complained of mild symptoms from gastroesophageal reflux. Six patients (85%) presented with esophageal motility disorders on manometry and 4 (54%) had nocturne chronic reflux disease on pH monitoring. Two patients underwent endoscopic ultrasonography, of which one presented with a focal absence of one layer of the esophageal wall within the area of the suture. With time, no patient experienced recurrence, but one developed ...Continue Reading

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Apr 25, 2006·The Annals of Thoracic Surgery·Xavier Benoit D'JournoPascal A Thomas
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Citations

Mar 9, 2010·Revue de pneumologie clinique·C DoddoliP Thomas
Jul 31, 2007·The Journal of Thoracic and Cardiovascular Surgery·Mario SantiniGiovanni Vicidomini
Apr 25, 2006·The Annals of Thoracic Surgery·Xavier Benoit D'JournoPascal A Thomas
Oct 30, 2009·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·D VallböhmerW Schröder
Aug 23, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Xavier Benoit D'Journo
Jan 12, 2008·British Journal of Hospital Medicine·John Pilling, Peter Goldstraw
Jul 19, 2020·Surgical Endoscopy·Bram D VermeulenUNKNOWN Benign Esophageal Perforation Collaborative Group

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