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Esophageal Rupture

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781. Bouveret meets Boerhaave. (Abstract)

Bouveret meets Boerhaave. Rarely, biliary-enteric fistula can result in duodenal obstruction or Bouveret's syndrome. Boerhaave's syndrome is a distal esophageal rupture in the setting of severe emesis. This case is the first reported successful management of these clinical scenarios occurring simultaneously and highlights important features in presentation, diagnosis, and surgical treatment.

2006 Annals of Thoracic Surgery

782. Boerhaave syndrome--unusual cause of chest pain. (Abstract)

Boerhaave syndrome--unusual cause of chest pain. Spontaneous esophageal rupture (Boerhaave syndrome) is uncommon in children. Delayed or missed diagnosis can lead to poor outcomes in terms of morbidity and mortality. To highlight the importance of early recognition and management of spontaneous esophageal rupture in children, we report a case of a 16-year-old boy who presented in the emergency department with acute chest pain after episodes of vomiting.

2007 Pediatric Emergency Care

783. Boerhaave's syndrome after postoperative vomiting. (Abstract)

Boerhaave's syndrome after postoperative vomiting. Postoperative nausea and vomiting are common after general anesthesia but rarely produce life-threatening conditions. We report a case of postoperative vomiting complicated by esophageal rupture (Boerhaave's syndrome). As this complication is quite rare and can have varied and atypical presentations, anesthesiologists may fail to consider this diagnosis.We report a case of postoperative vomiting complicated by esophageal rupture (Boerhaave's

2004 Anesthesia and Analgesia

784. Repair of aortoesophageal fistula due to a penetrating atherosclerotic ulcer of the descending thoracic aorta and literature review Full Text available with Trip Pro

to the practice hitherto followed no active surgical intervention was carried out for the esophageal lesion and cardiopulmonary bypass support was not employed. We present a case of rupture of a penetrating atherosclerotic ulcer of descending thoracic aorta, where in an emergency surgery was performed and the patient is doing well 21 months later. (...) Repair of aortoesophageal fistula due to a penetrating atherosclerotic ulcer of the descending thoracic aorta and literature review Penetrating atherosclerotic ulcer rupturing into the esophagus is rare and the resulting aortoesophageal fistula carries a high mortality. In view of the emergency nature of the entity and complexity of the procedure management of such a condition is not standardized. The immediate concern is to save the patient from life threatening exsanguinations. Contrary

2007 Journal of cardiothoracic surgery

785. A case of a “fragile” oesophagus Full Text available with Trip Pro

A case of a “fragile” oesophagus 16966703 2008 01 14 2009 10 02 1468-3288 55 10 2006 Oct Gut Gut A case of a "fragile" oesophagus. 1495, 1511 Anagnostopoulos G K GK Wolfson Digestive Diseases Centre, University Hospital, Nottingham, UK. Shonde T T Kaye P P Ragunath K K eng Case Reports Journal Article England Gut 2985108R 0017-5749 AIM IM Adult Deglutition Disorders etiology Esophagitis complications diagnosis Esophagoscopy Esophagus injuries Humans (...) Male Rupture, Spontaneous 2006 9 13 9 0 2008 1 15 9 0 2006 9 13 9 0 ppublish 16966703 55/10/1495 10.1136/gut.2006.091579 PMC1856447

2006 Gut

786. Mediastinitis

up to date with expert written health and lifestyle content. By clicking 'Subscribe' you agree to our and . Subscribe Thanks for your feedback. if you would like to report a specific issue with this page, please visit our . Thank you, we just sent a survey email to confirm your preferences. Further reading and references ; Esophageal Rupture, Medscape, Sep 2008 ; Mediastinitis after more than 10,000 cardiac surgical procedures. Ann Thorac Surg. 2006 Nov82(5):1784-9. ; Mediastinitis, Medscape (...) to: ingestion. Spontaneous oesophageal rupture. Local neoplastic spread. Iatrogenic causes including: . . Cardiothoracic surgery (most cases of mediastinitis in the developed world follow cardiothoracic surgery). [ ] . Blunt trauma to the chest/abdomen can cause mediastinitis. [ ] There may be direct spread of infection into the mediastinum from: Pulmonary infection. of the sternoclavicular junction. Granulomatous disease (including ) in the mediastinal lymph nodes. Descending necrotising mediastinitis

2008 Mentor

787. Achalasia

unfit patients. A balloon is inserted into the lower oesophagus via an endoscope and it is inflated to rupture the muscle of the oesophagus whilst leaving the mucosa intact. The success rate is 40-85% with a 0-10% rate of perforation. If a perforation occurs, emergency surgery is needed to close the perforation and perform a myotomy. Multiple balloon dilatation with increasing balloon diameter at two months, two years and six years is more effective. Endoscopic injection of botulinum toxin (...) in Man (OMIM) ; Online Mendelian Inheritance in Man (OMIM) ; Achalasia: what is the best treatment? Ann Afr Med. 2008 Sep7(3):141-8. ; Treatment of patients with achalasia with botulinum toxin: a multicenter prospective cohort study. Dis Esophagus. 200316(3):204-9. ; Surgery or Peroral Esophageal Myotomy for Achalasia: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2016 Mar95(10):e3001. doi: 10.1097/MD.0000000000003001. ; Long-term esophageal cancer risk in patients with primary

2008 Mentor

788. Airways and Intubation

end linked by a short connection to a conventional tracheal tube. It is designed for blind insertion and placement is determined by examination and auscultation, with cuffs being able to be adjusted according to whether the trachea or oesophagus has been intubated. It has been used amongst first responders in North America successfully [ ] but its use in the pre-hospital setting can also be associated with serious complications such as aspiration pneumonitis, pneumothorax and oesophageal rupture (...) .2012.187612. ; Resuscitation Council (UK) Guidelines (2015) ; Supraglottic airways in difficult airway management: successes, failures, use and misuse. Anaesthesia. 2011 Dec66 Suppl 2:45-56. doi: 10.1111/j.1365-2044.2011.06934.x. ; Comparison of a conventional tracheal airway with the Combitube in an urban emergency medical services system run by physicians. Resuscitation. 2003 Apr57(1):27-32. ; Complications associated with the Esophageal-Tracheal Combitube in the pre-hospital setting. Can J Anaesth

2008 Mentor

789. Oesophageal Varices

is characteristically severe and may be life-threatening. The size of the varices and their tendency to bleed are directly related to the portal pressure, which is usually directly related to the severity of underlying liver disease. Large varices with red spots are at highest risk of rupture. [ ] Epidemiology [ , ] Bleeding from oesophageal varices is responsible for 5-11% of all cases of upper gastrointestinal bleeding (UGIB). In Western countries, alcoholic and viral cirrhosis are the leading causes of portal (...) and references ; Scottish Intercollegiate Guidelines Network - SIGN (September 2008) ; Evaluation and treatment of esophageal varices in the cirrhotic patient. Isr Med Assoc J. 2013 Feb15(2):109-15. ; Prediction of esophageal varices in patients with cirrhosis. J Clin Gastroenterol. 2002 Jan34(1):81-5. ; Current management of the complications of portal hypertension: variceal bleeding and ascites. CMAJ. 2006 May 9174(10):1433-43. ; Primary prophylaxis of gastroesophageal variceal bleeding: consensus

2008 Mentor

790. esophageal perforation

esophageal perforation esophageal perforation - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search esophageal perforation Perforation or rupture of the oesophagus is an important differential diagnosis in chest pain. Clinically, pain follows vomiting and a chest radiograph shows left pleural effusion with gas in the mediastinum. There may be distress, dysphagia and dyspnoea. It should not be confused with Mallory-Weiss tear

2010 GP Notebook

791. Soft-tissue case 40. Presentation Full Text available with Trip Pro

Soft-tissue case 40. Presentation 11504257 2001 09 27 2013 07 11 0008-428X 44 4 2001 Aug Canadian journal of surgery. Journal canadien de chirurgie Can J Surg Soft-tissue case 40. Boerhaave's syndrome: postemetic esophageal rupture. 259, 306 Ferri L L Division of Thoracic Surgery, McGill University Health Centre, Montreal, Que. Mulder D D eng Case Reports Journal Article Canada Can J Surg 0372715 0008-428X IM Aged Aged, 80 and over Esophageal Perforation etiology Humans

2001 Canadian Journal of Surgery

792. Endoscopic sclerosis versus cyanoacrylate endoscopic injection for the first episode of variceal bleeding: a prospective, controlled, and randomized study in Child-Pugh class C patients. (Abstract)

of the tissue adhesive N-butyl-2-cyanoacrylate in controlling the first episode of rupturing of esophageal varices.From January 1994 to June 1997, 36 consecutive Child-Pugh class C cirrhotic patients were admitted with an initial episode of esophageal variceal bleeding. They were randomly assigned to receive sclerotherapy with a 3% ethanolamine oleate solution (group 1, 18 patients) or injection of tissue adhesive (group 2, 18 patients). Episodes of recurrent bleeding were managed after the randomization (...) procedure. After bleeding had been controlled, patients in both groups received weekly sessions of conventional sclerotherapy to eradicate any remaining esophageal veins.The patients in the two treatment groups had similar characteristics on entry into the study. More than 80% of the patients were admitted with moderate or severe hemorrhage. Approximately half of them presented with active bleeding during the index endoscopy. Early recurrent bleeding was observed in ten of the 18 patients in group 1

2001 Endoscopy Controlled trial quality: uncertain

793. Effects of long-term propranolol and octreotide on postprandial hemodynamics in cirrhosis: a randomized, controlled trial. (Abstract)

Effects of long-term propranolol and octreotide on postprandial hemodynamics in cirrhosis: a randomized, controlled trial. Postprandial increases in portal pressure may influence esophageal variceal rupture. The effects of chronic propranolol and octreotide (100 and 200 microg subcutaneously in a single dose) on postprandial hemodynamics were evaluated.FIRST STUDY: 36 cirrhotic patients were studied at baseline and 30 and 60 minutes after a standard meal and then treated with propranolol (139

2002 Gastroenterology Controlled trial quality: uncertain

794. Nadolol can prevent the first gastrointestinal bleeding in cirrhotics: a prospective, randomized study. (Abstract)

Nadolol can prevent the first gastrointestinal bleeding in cirrhotics: a prospective, randomized study. Propranolol has been reported to prevent the risk of hemorrhage in patients who survived episodes of variceal rupture. Since the first bleeding episode can be lethal, we did a prospective, randomized trial to see whether beta-blockers could also prevent the first hemorrhage. Seventy-nine consecutive cirrhotics with large esophageal varices by endoscopy and who had never bled were randomly

1988 Hepatology Controlled trial quality: uncertain

795. [Prevalence of hepatocellular carcinoma in cirrhotic patients with with portosystemic shunt. Cohort analysis]. (Abstract)

controlled studies in which the efficacy of shunt procedures (group I: portocaval or splenorenal anastomosis) versus techniques other than shunt (group II: esophageal transection or variceal sclerosis) in the treatment of upper-6I bleeding secondary to rupture of esophageal-gastric varices were compared. After a mean follow up of 50 months, no differences were observed between the two groups in relation with the prevalence of hepatocellular carcinoma (group I: 17%; group II: 12%; relative risk: 1.41 [CI

1996 Gastroenterología y hepatología Controlled trial quality: uncertain

796. Propranolol reduces the rebleeding rate during endoscopic sclerotherapy before variceal obliteration. (Abstract)

gastrointestinal bleeding, which was endoscopically proven to originate from ruptured esophageal varices, were included. After initial control of bleeding, the patients were randomized into the following two groups: group 1 treated with sclerotherapy alone (36 patients) and group 2 treated with sclerotherapy plus propranolol (39 patients). They were followed up to variceal obliteration. In group 2, 7 patients rebled as compared with 14 patients treated with sclerotherapy alone (P less than 0.005). When (...) considering only rebleedings from esophageal varices, 4 patients rebled in group 2 vs. 10 in group 1 (P less than 0.10). The total number of rebleeding episodes was lower in group 2 than in group 1 whether considering all causes (8 vs. 17; P less than 0.07) or variceal rebleedings alone (4 vs. 13; P less than 0.01). Mean total blood requirement per patient was lower in group 2 than in group 1 (1.4 +/- 3.4 vs. 2.79 +/- 6.4 units of blood, respectively; P less than 0.01). Mortality was similar in both

1992 Gastroenterology Controlled trial quality: uncertain

797. Does elective sclerotherapy improve the efficacy of long-term propranolol for prevention of recurrent bleeding in patients with severe cirrhosis? A prospective multicenter, randomized trial. (Abstract)

percentages (expressed as mean +/- S.D.) of recurrent bleeding at 2 yr were 42% +/- 6% for propranolol plus sclerotherapy and 59% +/- 6% for propranolol alone (a nonsignificant difference). Twenty-eight patients from the propranolol group but only 12 patients from the propranolol-plus-sclerotherapy group had recurrent bleeding from esophageal variceal rupture (p less than 0.01). The total number of blood units per patient with recurrent bleeding was slightly but not significantly more important

1992 Hepatology Controlled trial quality: uncertain

798. Systemic antibiotic therapy prevents bacterial infection in cirrhotic patients with gastrointestinal hemorrhage. (Abstract)

Systemic antibiotic therapy prevents bacterial infection in cirrhotic patients with gastrointestinal hemorrhage. This randomized prospective study was aimed at assessing the efficiency of a systemic antibiotic therapy for the prevention of bacterial infections in cirrhotic patients with gastrointestinal hemorrhage by ruptured esophageal varices. For 15 mo, all patients hospitalized with no infection on admission, were included in the study. Starting on admission day, patients in group

1994 Hepatology Controlled trial quality: uncertain

799. Spontaneous intramural haematoma of the oesophagus. Full Text available with Trip Pro

Spontaneous intramural haematoma of the oesophagus. 6879491 1983 09 09 2018 11 13 0040-6376 38 5 1983 May Thorax Thorax Spontaneous intramural haematoma of the oesophagus. 394-5 Biagi G G Cappelli G G Propersi L L Grossi A A eng Case Reports Journal Article England Thorax 0417353 0040-6376 25BB7EKE2E Barium Sulfate IM Barium Sulfate Esophageal Diseases diagnostic imaging Esophagus diagnostic imaging Female Hematoma diagnostic imaging Humans Middle Aged Radiography Rupture, Spontaneous 1983 5 1

1983 Thorax

800. Boerhaave syndrome: lifters' liability. Full Text available with Trip Pro

Boerhaave syndrome: lifters' liability. 7467308 1981 04 24 2018 11 13 0093-0415 133 6 1980 Dec The Western journal of medicine West. J. Med. Boerhaave syndrome: lifters' liability. 517-9 Wilson D R DR Cotie R W RW Bailey L L LL eng Case Reports Journal Article United States West J Med 0410504 0093-0415 IM Aged Esophageal Diseases etiology Humans Male Physical Exertion Rupture, Spontaneous 1980 12 1 1980 12 1 0 1 1980 12 1 0 0 ppublish 7467308 PMC1272413 Am Surg. 1958 May;24(5):385-94 13521298

1980 Western Journal of Medicine

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