Boerhaave syndrome medical therapy: Difference between revisions
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{{CMG}} {{AE}} {{DM}}, {{Ajay}}, {{FT}} | {{CMG}} {{AE}} {{DM}}, {{Ajay}}, {{FT}} | ||
==Overview== | ==Overview== | ||
Conservative management of Boerhaave syndrome consists of | Conservative management of Boerhaave syndrome consists of [[intravenous fluids]], [[antibiotics]], [[Nasogastric aspiration|nasogastric suction]], keeping the patient [[NPO]], adequate drainage with tube thoracostomy or formal [[thoracotomy]]. | ||
==Medical Therapy== | ==Medical Therapy== | ||
Conservative management of Boerhaave syndrome consists of: <ref name="pmid17220586">{{cite journal |author=Matsuda A, Miyashita M, Sasajima K, ''et al.'' |title=Boerhaave syndrome treated conservatively following early endoscopic diagnosis: a case report |journal=Journal of Nippon Medical School = Nihon Ika Daigaku zasshi |volume=73 |issue=6 |pages=341–5 |year=2006 |pmid=17220586 |url=http://www.jstage.jst.go.jp/article/jnms/73/6/73_341/_article|doi=10.1272/jnms.73.341}}</ref><ref>{{cite journal |author=Jougon J, Mc Bride T, Delcambre F, Minniti A, Velly JF |title=Primary esophageal repair for Boerhaave's syndrome whatever the free interval between perforation and treatment |journal=Eur J Cardiothorac Surg |volume=25 |issue=4 |pages=475–9 |year=2004 |month=April |pmid=15037257 |doi=10.1016/j.ejcts.2003.12.029 |url=http://linkinghub.elsevier.com/retrieve/pii/S1010794003008170}}</ref> | |||
*[[Intravenous fluids]] | |||
*Antibiotics ([[Imipenem-Cilastatin|Imipenem/cilastatin]]) | |||
*[[Nasogastric aspiration|Nasogastric suction]] | |||
*Keep the patient [[NPO]] | |||
*Adequate drainage with tube thoracostomy or formal [[thoracotomy]] | |||
The decision to use a conservative or surgical approach depends on the following factors: | |||
* Time delay in presentation and diagnosis | |||
* | * Extent of perforation | ||
* | * Overall medical condition of the patient | ||
* | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:55, 6 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2], Ajay Gade MD[3]], Feham Tariq, MD [4]
Overview
Conservative management of Boerhaave syndrome consists of intravenous fluids, antibiotics, nasogastric suction, keeping the patient NPO, adequate drainage with tube thoracostomy or formal thoracotomy.
Medical Therapy
Conservative management of Boerhaave syndrome consists of: [1][2]
- Intravenous fluids
- Antibiotics (Imipenem/cilastatin)
- Nasogastric suction
- Keep the patient NPO
- Adequate drainage with tube thoracostomy or formal thoracotomy
The decision to use a conservative or surgical approach depends on the following factors:
- Time delay in presentation and diagnosis
- Extent of perforation
- Overall medical condition of the patient
References
- ↑ Matsuda A, Miyashita M, Sasajima K; et al. (2006). "Boerhaave syndrome treated conservatively following early endoscopic diagnosis: a case report". Journal of Nippon Medical School = Nihon Ika Daigaku zasshi. 73 (6): 341–5. doi:10.1272/jnms.73.341. PMID 17220586.
- ↑ Jougon J, Mc Bride T, Delcambre F, Minniti A, Velly JF (2004). "Primary esophageal repair for Boerhaave's syndrome whatever the free interval between perforation and treatment". Eur J Cardiothorac Surg. 25 (4): 475–9. doi:10.1016/j.ejcts.2003.12.029. PMID 15037257. Unknown parameter
|month=ignored (help)