Endoscopic techniques and their effectiveness in the treatment of the boerhaave´s syndrome (clinical observation)
- Authors: Zubarev P.N.1, Dzidzava I.I.1, Belevich V.L.1, Brednev A.O.1, Popov V.A.1
-
Affiliations:
- S. M. Kirov Military Medical Academy
- Issue: Vol 39, No 3 (2020)
- Pages: 50-55
- Section: Case report
- URL: https://journal-vniispk.ru/RMMArep/article/view/64984
- DOI: https://doi.org/10.17816/rmmar64984
- ID: 64984
Cite item
Full Text
Abstract
Minimally invasive endoscopic methods are gradually being introduced in all areas of medicine. Esophageal surgery is no exception. Recently, endoscopic clipping of the mucous membrane for fresh ruptures, stenting of the esophagus and Vacuum Assisted Closure have been used in the treatment of injuries of the esophagus when radical surgery is impossible and purulent complications develop. As the techniques were mastered, they were introduced into the clinic. This article presents a clinical observation of the treatment of a 56-year-old patient with a spontaneous rupture of the esophagus (Boerhaave΄s syndrome), who at certain stages of treatment used certain endoscopic techniques that allowed to stabilize the patient in the early stages of treatment and preserve the esophagus and its functionality in the future. The duration of the patient΄s treatment in the clinic was 45 days. Subsequent follow-up examinations did not reveal any abnormalities in the patient΄s health that required surgical correction. This observation allowed us to look at the problem of treating this group of patients from a different angle and form new algorithms for treating patients using minimally invasive methods (6 figs, bibliography: 10 refs).
Full Text
##article.viewOnOriginalSite##About the authors
Petr N. Zubarev
S. M. Kirov Military Medical Academy
Author for correspondence.
Email: koptata@mail.ru
ORCID iD: 0000-0003-4470-3536
M. D., D. Sc. (Medicine), Associate Professor, Associate Professor of the General Surgery Department
Russian Federation, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044Ilya I. Dzidzava
S. M. Kirov Military Medical Academy
Email: koptata@mail.ru
ORCID iD: 0000-0002-5860-3053
M. D., D. Sc. (Medicine), Assoc. Prof., the Нead of the Hospital Surgery Department
Russian Federation, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044Valeriy L. Belevich
S. M. Kirov Military Medical Academy
Email: koptata@mail.ru
M. D., D. Sc. (Medicine), Senior Lecturer of the General Surgery Department
Russian Federation, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044Anton O. Brednev
S. M. Kirov Military Medical Academy
Email: koptata@mail.ru
M. D., Ph. D. (Medicine), Lecturer of the General Surgery Department
Russian Federation, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044Vladimir A. Popov
S. M. Kirov Military Medical Academy
Email: koptata@mail.ru
Senior Resident of the Hospital Surgery Clinic
Russian Federation, bld. 6, Akademika Lebedeva str., Saint Petersburg, 194044References
Supplementary files
