title: Management of Boerhaave's syndrome with an over-the-scope clip.
abstract: Boerhaave's syndrome is a spontaneous barotraumatic disruption of the distal oesophagus secondary to an abrupt increase in intraoesophageal pressure during vomiting. Management ranges from a conservative approach to an oesophagectomy. The over-the-scope-clip (OTSC, Ovesco Endoscopy GmbH, Tuebingen, Germany) system is a newly designed clipping method for tissue mechanical compression in the gastrointestinal tract. We report the case of a patient referred with a delayed diagnosis of Boerhaave's syndrome and successfully treated by OTSC application followed by lung decortication.
authors.affiliation: Division of General Surgery, Department of Biomedical Sciences for Health, University of Milan Medical School, IRCCS Policlinico San Donato, Milan, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Bona
authors.forename: Alberto
authors.initials: A
authors.lastname: Aiolfi
authors.forename: Emanuele
authors.initials: E
authors.lastname: Rausa
authors.forename: Luigi
authors.initials: L
authors.lastname: Bonavina
mesh_terms: D000328:Adult; D016145:Endoscopy, Digestive System; D004939:Esophageal Perforation / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000601:surgery*; D015607:Stents; D013908:Thoracotomy; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation
keywords: Boerhaave’s syndrome; Lung decortication; Spontaneous oesophageal perforation