Endoscopy 2019; 51(04): S194-S195
DOI: 10.1055/s-0039-1681746
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 14:00 – 14:30: Leaks 2 ePoster Podium 5
Georg Thieme Verlag KG Stuttgart · New York

STANDARDIZED PROACTIVE ENDOSCOPIC AND SURGICAL INTERVENTIONS FOR MANAGEMENT OF PATIENTS WITH BOERHAAVE SYNDROM TO REDUCE MORTALITY: A RETROSPECTIVE ANALYSIS

D Wichmann
1   Department of General, Visceral and Transplantation Surgery, University of Tübingen, Tübingen, Germany
,
L Herrmann
1   Department of General, Visceral and Transplantation Surgery, University of Tübingen, Tübingen, Germany
,
B Mothes
1   Department of General, Visceral and Transplantation Surgery, University of Tübingen, Tübingen, Germany
,
U Schweizer
1   Department of General, Visceral and Transplantation Surgery, University of Tübingen, Tübingen, Germany
,
A Königsrainer
1   Department of General, Visceral and Transplantation Surgery, University of Tübingen, Tübingen, Germany
,
U Schempf
2   Department of Gastroenterology, Hepatology, and Infectiology, University of Tübingen, Tübingen, Germany
,
M Goetz
2   Department of Gastroenterology, Hepatology, and Infectiology, University of Tübingen, Tübingen, Germany
,
V Steger
3   Department of Cardiothoracic and Vascular Surgery, University of Tübingen, Tübingen, Germany
,
G Loske
4   Department for General, Abdominal, Thoracic and Vascular Surgery; Interdisziplinary Endoscopy, Marienhospital Hamburg, Hamburg, Germany
,
D Stueker
1   Department of General, Visceral and Transplantation Surgery, University of Tübingen, Tübingen, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 
 

    Aims:

    Boerhaave Syndrome (BS) is a post emetic transmural rupture of the oesophagus. It is a devastating event associated with a high morbidity and mortality rate. Enteric leakage into the thoracic or abdominal cavity causes mediastinitis, sepsis and multisystem organ failure. New strategy combining minimal invasive tools and interdisciplinary therapy was introduced to treat patients with a rupture of the oesophagus following a standard operating procedure.

    Methods:

    We review treatment results of BS patients treated in a 10 year period started in 2007 at our university hospital.

    Results:

    12 patients with BS were detected during this period. All BS-patients were treated at intensive care units. One patient died within 72 days of the oesophageal rupture. Patients treated following the interdisciplinary strategy survived sepsis and recovered independently of latency between start of symptoms and start of therapy.

    Conclusions:

    Proactive interdisciplinary approach following the SOP in patients with BS was associated with a mortality rate of 8.33% and a 30-days-mortality of 0% respectively. We present this successful treatment strategy for patients with BS.


    #