title: [Boerhaave's syndrome: a review of our experience over the last 16 years].
abstract: OBJECTIVE
  Report our experience in the diagnosis and treatment of Boerhaave syndrome by retrospective study from 1997 to 2013.
  
  
  METHODS
  A retrospective study was conducted covering the time frame of 1997 to 2013.
  
  
  RESULTS
  There were a total of 5 men (71%) and 2 women (29%) and the mean age was 54 years (range: 33-80 years). Diagnosis was made through computed tomography scan in 5 cases (71%) and esophagogram in 2 cases (19%). Six patients (86%) had emergency surgery, whereas one case (14%) was managed conservatively. The surgical technique employed was primary suture and repair in 4 patients (67%) and esophageal resection and subsequent cervical esophagostomy in 2 patients (33%).
  
  
  CONCLUSIONS
  Boerhaave's syndrome is a clinically rare entity with an elevated mortality rate. Therefore, a high degree of suspicion is necessary for making the diagnosis and providing early treatment that can result in improved outcome.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España. Electronic address: laura_9487@yahoo.es.
authors.forename: L
authors.initials: L
authors.lastname: Granel-Villach
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
authors.forename: C
authors.initials: C
authors.lastname: Fortea-Sanchis
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
authors.forename: D
authors.initials: D
authors.lastname: Martínez-Ramos
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
authors.forename: G A
authors.initials: GA
authors.lastname: Paiva-Coronel
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
authors.forename: R
authors.initials: R
authors.lastname: Queralt-Martín
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
authors.forename: A
authors.initials: A
authors.lastname: Villarín-Rodríguez
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Salvador-Sanchis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D004939:Esophageal Perforation / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation
keywords: Boerhaave; Esophagus; Esófago; Mediastinitis; Perforación espontánea; Perforation spontaneous