Boerhaave syndrome medical therapy

Boerhaave syndrome Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

• Conservative management of Boerhaave syndrome consists of:
  • Intravenous fluids should be instituted.
  • 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