M.V. BURMISTROV¹, E.V. TRISHIN¹, V.Yu. MATVEEV¹, M.V. MALEEV¹, I.N. STAROVEROV², S.G. DRUZHKIN^2, 3, A.Yu. GOPANYUK³

¹Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, Kazan

²Yaroslavl State Medical University, Yaroslavl

³Regional Clinical Hospital, Yaroslavl

Contact details:

Burmistrov M.V. — MD., Professor, Deputy Chief Physician

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel.: +7-917-869-53-07, e-mail: burma71@mail.ru

Boerhaave’s syndrome or spontaneous rupture of the esophagus is not a rare disease, but the vast majority of authors have a small number of observations. A high mortality rate with this pathology is noted both in the Russian Federation and abroad. The article presents in-house results of diagnosis and treatment of 45 patients with Boerhaave’s syndrome who have been treated in the thoracic departments of the cities of Kazan and Yaroslavl. Comparison between patient groups in these regions was made. The causes of late and incorrect diagnosis of spontaneous rupture of the esophagus were considered. The factors affecting mortality in patients with this pathology were evaluated. The measures have been proposed to reduce mortality in case of this disease.

Key words: spontaneous rupture of the esophagus, Boerhaave’s syndrome.

 (For citation: Burmistrov M.V., Trishin E.V., Matveev V.YU., Maleev M.V., Staroverov I.N. , Druzhkin S.G.,. Gopanyuk A.Yu. Boerhaave’s syndrome. Mortality and possible ways to reduce it. Practical Medicine. 2019. Vol. 17, № 6 (part2), P. 47-49)

REFERENCES

1. Singh G.S., Slovis C.M. Occult’ Boerhaaves syndrome. J Emerg Med, 1988, vol. 6, pp. 13–16.
2. Bjerke H.S. Boerhaaves syndrome and barogenic injuries of the oesophagus. Chest Surg Clin N Am, 1994, vol. 4, pp. 819–825.
3. Younes Z., Johnson D.A. The spectrum of spontaneous and iatrogenic esophageal injury. J Clin Gastroenterol, 1999, vol. 29, pp. 306–317.
4. Vidarsdottir H., Blondal S., Alfredsson H. et al. Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome. Thorac Cardiovasc Surg, 2010, vol. 58, pp. 476–480. doi: 10.1055/s-0030-1250347
5. Vallbohmer D., Holscher A.H., Holscher M. et al. Options in the management of esophageal perforation: analysis over a 12-year period. Dis Esophagus, 2010, vol. 23, pp. 185–190. doi: 10.1111/j.1442-2050.2009.01017.x
6. Gander J.W., Berdon W.E., Cowles R.A. Iatrogenic esophageal perforation in children. Pediatr Surg.
7. Callaghan J. The Boerhaave syndrome. Br J Surg, 1972, vol. 59, pp. 41–50.
8. Miroshnikov B.I., Labazanov M.M., Anan’ev N.V. et al. Spontaneous rupture of the esophagus (Rus.). Vestnik khirurgii imeni I.I. Grekova, 1998, vol. 157, no. 2, pp. 74–75 (in Russ.).
9. Ionis E.Yu., Plechev V.V., Avzaletdinov A.M. et al. Spontannyy razryv pishchevoda. Sindrom Burkhave. Khirurgicheskoe lechenie [Spontaneous rupture of the esophagus. Burhave’s syndrome. Surgical treatment]. Sbornik tezisov Mezhdunarodnogo kongressa Aktual’nye napravleniya sovremennoy kardio-torakal’noy khirurgii. Saint Petersburg: Assotsiatsiya torakal’nykh khirurgov Rossii, 2015. Pp. 203–204.
10. De Schipper J.P., Pull ter Gunne A.F., Oostvogel H.J., van Laarhoven C.J. Spontaneous rupture of theoesophagus: Boerhaave’s syndrome in 2008. Literature review and treatment algorithm. Dig Surg, 2009, vol. 26 (1), pp. 1–6.
11. Kim B.S.M., Li B.T., Engel A. et al. Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. World Journal of Gastrointestinal Pathophysiology, 2014, vol. 5 (4), pp. 467–478. doi:10.4291/wjgp.v5.i4.467
12. Kochukov V.P. Spontaneous rupture of the esophagus (Burhave syndrome). Khirurgiya. Zhurnal imeni N.I. Pirogova, 2012, no. 7, pp. 83–84 (in Russ.).
13. Yurasov S.E. Spontaneous rupture of the abdominal esophagus. Khirurgiya. Zhurnal imeni N.I. Pirogova, 1999, no. 4, p. 58 (in Russ.).
14. Yagnik V.D. Boerhaave’s syndrome: Spontaneous full thickness esophageal perforation. Lung India: Official Organ of Indian Chest Society, 2012, vol. 9 (2), pp. 197. doi:10.4103/0970-2113.95350
15. Symbas P.N., Hatcher C.R., Harlaftis N. Spontaneous rupture of the oesophagus. Ann Surg, 1978, vol. 187, pp. 634–639.
16. Curcij J.J., Horman M.J. Boerhaave’s syndrome: the importance of early diagnosis and treatment. Ann Surg, 1976, vol. 183, pp. 401–408.