Endoscopic Management of Boerhaave syndrome: Are outcomes better than surgery? A Case Report and Review of Literature

Authors

Ammar Qureshi, Gastroenterology and Hepatology Fellow, Department of Medicine, University of California-Riverside.Follow
Uvesh Mansuri, Academic Hospitalist, Department of Medicine, Medstar Union Memorial Hospital.
Mona Roknsharifi, Internal Medicine Physician Resident, Department of Medicine, University of California-Riverside
Youssef Ghobrial, Gastroenterology and Hepatology Fellow Department of Medicine, Sunrise GME Consortium Gastroenterology Fellowship Program.
Artin Asgeri, Research Scholar, College of the Desert
Mehrdad Asgeri, Department of Gastroenterology, Eisenhower Health.

Abstract

Boerhaave syndrome (BS) is a rare clinical diagnosis associated with a high morbidity and mortality rate. Diagnosis of this condition is usually delayed which can lead to a very poor outcome. The timing of presentation and time to management plays a very important role in the prognosis and selection of the management method. With the advances seen in therapeutic endoscopy, many authors have been exploring the possibility of shifting the focus of management from surgery to interventional endoscopy. We present a case report of a patient presenting with BS that was successfully managed endoscopically. We also reviewed the literature on how surgical management compares to endoscopic management and attempted to establish general recommendations from available literature on management of BS.

Recommended Citation

Qureshi, Ammar; Mansuri, Uvesh; Roknsharifi, Mona; Ghobrial, Youssef; Asgeri, Artin; and Asgeri, Mehrdad (2024) "Endoscopic Management of Boerhaave syndrome: Are outcomes better than surgery? A Case Report and Review of Literature," Journal of Community Hospital Internal Medicine Perspectives: Vol. 14: Iss. 2, Article 18.
DOI: 10.55729/2000-9666.1324
Available at: https://scholarlycommons.gbmc.org/jchimp/vol14/iss2/18