Boerhaave Syndrome Questions & Answers

Updated: Dec 06, 2018
  • Author: Praveen K Roy, MD, AGAF; Chief Editor: Philip O Katz, MD, FACP, FACG  more...
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Questions & Answers

Overview

What is Boerhaave syndrome?

What is the pathophysiology of Boerhaave syndrome?

What causes Boerhaave syndrome?

What is the prevalence of Boerhaave syndrome?

Which age groups have the highest prevalence of Boerhaave syndrome?

What is the prognosis of Boerhaave syndrome?

What are the morbidity and mortality associated with Boerhaave syndrome?

What are the possible complications of Boerhaave syndrome?

Presentation

Which clinical history findings are characteristic of Boerhaave syndrome?

Which factors affect the clinical presentation of Boerhaave syndrome?

Which physical findings are characteristic of Boerhaave syndrome?

What are unusual physical findings of Boerhaave syndrome?

Which is the significance of a finding of pneumomediastinum during the evaluation of Boerhaave syndrome?

What are the signs and symptoms of the later stages of Boerhaave syndrome?

DDX

What are the differential diagnoses for Boerhaave Syndrome?

Workup

What is the role of lab testing in the workup of Boerhaave syndrome?

What is the role of chest radiography in the workup of Boerhaave syndrome?

What is the role of esophagography in the workup of Boerhaave syndrome?

What is the role of CT scanning in the workup of Boerhaave syndrome?

What is the role of endoscopy in the workup of Boerhaave syndrome?

Treatment

How is Boerhaave syndrome treated?

Which factors determine treatment selection for Boerhaave syndrome?

What are criteria for conservative (nonsurgical) treatment of Boerhaave syndrome?

What is included in conservative treatment of Boerhaave syndrome?

Which specialist consultations are beneficial to patients with Boerhaave syndrome?

What is the role of surgery in the treatment of Boerhaave syndrome?

What are the late complications of surgical intervention for Boerhaave syndrome?

What is the efficacy of surgery for Boerhaave syndrome?

Medications

What is the goal of drug treatment for Boerhaave syndrome?

Which medications in the drug class Antibiotics are used in the treatment of Boerhaave Syndrome?