Boerhaave syndrome medical therapy

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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

Conservative management of Boerhaave syndrome consists of intravenous fluids, antibiotics, nasogastric suction, keeping the patient NPO, adequate drainage with tube thoracostomy or formal thoracotomy.

Non-operative treatment is best approach for patients with a contained perforation and the absence of clinical mediastinitis.^[1]

Conservative management of Boerhaave syndrome consists of: ^[2]^[3]

The decision to use a conservative or surgical approach depends on the following factors: