Boerhaave syndrome classification: Difference between revisions
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==Classification== | ==Classification== | ||
Boerhaave syndrome may be classified according to location into 3 groups: | Boerhaave syndrome may be classified according to location into 3 groups:<ref name="pmid1994204">{{cite journal |vauthors=McGovern M, Egerton MJ |title=Spontaneous perforation of the cervical oesophagus |journal=Med. J. Aust. |volume=154 |issue=4 |pages=277–8 |year=1991 |pmid=1994204 |doi= |url=}}</ref><ref name="pmid7815790">{{cite journal |vauthors=Whyte RI, Iannettoni MD, Orringer MB |title=Intrathoracic esophageal perforation. The merit of primary repair |journal=J. Thorac. Cardiovasc. Surg. |volume=109 |issue=1 |pages=140–4; discussion 144–6 |year=1995 |pmid=7815790 |doi=10.1016/S0022-5223(95)70429-9 |url=}}</ref><ref name="pmid26266352">{{cite journal |vauthors=Cross MR, Greenwald MF, Dahhan A |title=Esophageal Perforation and Acute Bacterial Mediastinitis: Other Causes of Chest Pain That Can Be Easily Missed |journal=Medicine (Baltimore) |volume=94 |issue=32 |pages=e1232 |year=2015 |pmid=26266352 |pmc=4616702 |doi=10.1097/MD.0000000000001232 |url=}}</ref> | ||
* [[Distal]] [[intrathoracic]] [[esophageal]] [[perforation]] | * [[Distal]] [[intrathoracic]] [[esophageal]] [[perforation]] | ||
* Intra-[[abdominal]] [[esophageal]] [[perforation]] | * Intra-[[abdominal]] [[esophageal]] [[perforation]] | ||
* [[Cervical]] [[esophageal]] [[perforation]] | * [[Cervical]] [[esophageal]] [[perforation]] | ||
Also Boerhaave syndrome may be classified according to time of presentations: | |||
* '''Acute perforation:''' presents with symptoms within twenty-four hours after rupture. | |||
* '''Subacute perforation:''' symptoms develop between twenty four hours to two weeks following perforation | |||
* '''Chronic perforation:''' the onset of symptoms is more insidious, often delaying presentation and diagnosis for weeks to months after rupture | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 16:11, 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] Shaghayegh Habibi, M.D.[5]
Overview
Boerhaave syndrome may be classified according to the location into 3 groups: distal intrathoracic esophageal perforation, intra-abdominal esophageal perforation, cervical esophageal perforation.
Classification
Boerhaave syndrome may be classified according to location into 3 groups:[1][2][3]
- Distal intrathoracic esophageal perforation
- Intra-abdominal esophageal perforation
- Cervical esophageal perforation
Also Boerhaave syndrome may be classified according to time of presentations:
- Acute perforation: presents with symptoms within twenty-four hours after rupture.
- Subacute perforation: symptoms develop between twenty four hours to two weeks following perforation
- Chronic perforation: the onset of symptoms is more insidious, often delaying presentation and diagnosis for weeks to months after rupture
References
- ↑ McGovern M, Egerton MJ (1991). "Spontaneous perforation of the cervical oesophagus". Med. J. Aust. 154 (4): 277–8. PMID 1994204.
- ↑ Whyte RI, Iannettoni MD, Orringer MB (1995). "Intrathoracic esophageal perforation. The merit of primary repair". J. Thorac. Cardiovasc. Surg. 109 (1): 140–4, discussion 144–6. doi:10.1016/S0022-5223(95)70429-9. PMID 7815790.
- ↑ Cross MR, Greenwald MF, Dahhan A (2015). "Esophageal Perforation and Acute Bacterial Mediastinitis: Other Causes of Chest Pain That Can Be Easily Missed". Medicine (Baltimore). 94 (32): e1232. doi:10.1097/MD.0000000000001232. PMC 4616702. PMID 26266352.