일차 봉합술이 실패한 Boerhaave 증후군에서의 내시경하 Endoluminal Vacuum 치료 1예
Successful Treatment Using Endoluminal Vacuum Therapy after Failure of Primary Closure in Boerhaave Syndrome
김융언, 도영우, 조준용, 김은수, 이덕현,
소속 상세정보
김융언 ( Kim Yoong-Eun )
경북대학교 의과대학 흉부외과학교실
도영우 ( Do Young-Woo )
경북대학교 의과대학 흉부외과학교실
조준용 ( Cho Joon-Yong )
경북대학교 의과대학 흉부외과학교실
김은수 ( Kim Eun-Soo )
경북대학교 의과대학 내과학교실
이덕현 ( Lee Deok-Heon )
경북대학교 의과대학 흉부외과학교실
Abstract
Boerhaave syndrome is a transmural perforation of the esophagus and typically occurs after forceful emesis. Boerhaave syndrome is a destructive disease with a high mortality rate, though surgical intervention within 24 hours has a beneficial effect. On the other hand, late surgical intervention is associated with poorer prognoses. Several therapeutic strategies, ranging from medical to surgical management, are available for Boerhaave syndrome. Recently, endoscopic endoluminal vacuum therapy (EVT) was introduced as a treatment option. Here, we report the case of a 56-year-old male patient with Boerhaave syndrome who was successfully treated by EVT after primary closure failure. The patient recovered without complication.
키워드
Esophageal perforation; Endoscopy; Vacuum assisted therapy
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