Boerhaave syndrome classification: Difference between revisions

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==Overview==
==Overview==
[[Boerhaave syndrome]] may be classified according to the location of involvement into three groups of distal [[intrathoracic]], [[intra-abdominal]] and [[cervical]] [[esophageal perforation]]. It also may be classified according to the time of presentations into three groups of [[Acute (medicine)|acute]], [[subacute]] and [[Chronic (medical)|chronic]] [[perforation]].
[[Boerhaave syndrome]] may be classified according to the location into three groups: distal [[intrathoracic]], [[intra-abdominal]] and [[cervical]] [[esophageal perforation]]. It also may be classified according to the time of presentation into three groups: [[Acute (medicine)|acute]], [[subacute]] and [[Chronic (medical)|chronic]] [[perforation]].


==Classification==
==Classification==
Classification according to location into three groups:<ref name="pmid1994204">{{cite journal |vauthors=McGovern M, Egerton MJ |title=Spontaneous perforation of the cervical oesophagus |journal=Med. J. Aust. |volume=154 |issue=4 |pages=277–8 |year=1991 |pmid=1994204 |doi= |url=}}</ref><ref name="pmid7815790">{{cite journal |vauthors=Whyte RI, Iannettoni MD, Orringer MB |title=Intrathoracic esophageal perforation. The merit of primary repair |journal=J. Thorac. Cardiovasc. Surg. |volume=109 |issue=1 |pages=140–4; discussion 144–6 |year=1995 |pmid=7815790 |doi=10.1016/S0022-5223(95)70429-9 |url=}}</ref><ref name="pmid26266352">{{cite journal |vauthors=Cross MR, Greenwald MF, Dahhan A |title=Esophageal Perforation and Acute Bacterial Mediastinitis: Other Causes of Chest Pain That Can Be Easily Missed |journal=Medicine (Baltimore) |volume=94 |issue=32 |pages=e1232 |year=2015 |pmid=26266352 |pmc=4616702 |doi=10.1097/MD.0000000000001232 |url=}}</ref>
Classification according to the location into three groups:<ref name="pmid1994204">{{cite journal |vauthors=McGovern M, Egerton MJ |title=Spontaneous perforation of the cervical oesophagus |journal=Med. J. Aust. |volume=154 |issue=4 |pages=277–8 |year=1991 |pmid=1994204 |doi= |url=}}</ref><ref name="pmid7815790">{{cite journal |vauthors=Whyte RI, Iannettoni MD, Orringer MB |title=Intrathoracic esophageal perforation. The merit of primary repair |journal=J. Thorac. Cardiovasc. Surg. |volume=109 |issue=1 |pages=140–4; discussion 144–6 |year=1995 |pmid=7815790 |doi=10.1016/S0022-5223(95)70429-9 |url=}}</ref><ref name="pmid26266352">{{cite journal |vauthors=Cross MR, Greenwald MF, Dahhan A |title=Esophageal Perforation and Acute Bacterial Mediastinitis: Other Causes of Chest Pain That Can Be Easily Missed |journal=Medicine (Baltimore) |volume=94 |issue=32 |pages=e1232 |year=2015 |pmid=26266352 |pmc=4616702 |doi=10.1097/MD.0000000000001232 |url=}}</ref>
* Distal [[intrathoracic]] esophageal perforation
* Distal [[intrathoracic]] esophageal perforation
* Intra-abdominal esophageal perforation
* Intra-abdominal esophageal perforation
* [[Cervical]] esophageal perforation
* [[Cervical]] esophageal perforation
Also Boerhaave syndrome may be classified according to the time of presentations:<ref name="pmid20226056">{{cite journal |vauthors=Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A |title=Chronic presentation of Boerhaave's syndrome |journal=BMC Gastroenterol |volume=10 |issue= |pages=29 |year=2010 |pmid=20226056 |pmc=2847967 |doi=10.1186/1471-230X-10-29 |url=}}</ref>
Also Boerhaave syndrome may be classified according to the time of presentation:<ref name="pmid20226056">{{cite journal |vauthors=Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A |title=Chronic presentation of Boerhaave's syndrome |journal=BMC Gastroenterol |volume=10 |issue= |pages=29 |year=2010 |pmid=20226056 |pmc=2847967 |doi=10.1186/1471-230X-10-29 |url=}}</ref>
* [[Acute]] perforation: presents with symptoms within twenty-four hours after [[rupture]].
* [[Acute]] perforation: presents with symptoms within twenty-four hours after [[rupture]]
* [[Subacute]] perforation: symptoms develop between twenty four hours to two weeks following [[perforation]]
* [[Subacute]] perforation: symptoms develop between twenty four hours to two weeks following [[perforation]]
* [[Chronic (medical)|Chronic]] perforation: the onset of symptoms is more insidious, often delaying presentation and diagnosis for weeks to months after rupture
* [[Chronic (medical)|Chronic]] perforation: the onset of symptoms is more insidious, often delaying presentation and diagnosis for weeks to months after rupture
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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Needs English Review]]
[[Category:Up-To-Date]]

Latest revision as of 14:46, 15 February 2021

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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

Boerhaave syndrome may be classified according to the location into three groups: distal intrathoracic, intra-abdominal and cervical esophageal perforation. It also may be classified according to the time of presentation into three groups: acute, subacute and chronic perforation.

Classification

Classification according to the location into three groups:[1][2][3]

  • Distal intrathoracic esophageal perforation
  • Intra-abdominal esophageal perforation
  • Cervical esophageal perforation

Also Boerhaave syndrome may be classified according to the time of presentation:[4]

  • Acute perforation: presents with symptoms within twenty-four hours after rupture
  • Subacute perforation: symptoms develop between twenty four hours to two weeks following perforation
  • Chronic perforation: the onset of symptoms is more insidious, often delaying presentation and diagnosis for weeks to months after rupture

References

  1. McGovern M, Egerton MJ (1991). "Spontaneous perforation of the cervical oesophagus". Med. J. Aust. 154 (4): 277–8. PMID 1994204.
  2. Whyte RI, Iannettoni MD, Orringer MB (1995). "Intrathoracic esophageal perforation. The merit of primary repair". J. Thorac. Cardiovasc. Surg. 109 (1): 140–4, discussion 144–6. doi:10.1016/S0022-5223(95)70429-9. PMID 7815790.
  3. Cross MR, Greenwald MF, Dahhan A (2015). "Esophageal Perforation and Acute Bacterial Mediastinitis: Other Causes of Chest Pain That Can Be Easily Missed". Medicine (Baltimore). 94 (32): e1232. doi:10.1097/MD.0000000000001232. PMC 4616702. PMID 26266352.
  4. Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A (2010). "Chronic presentation of Boerhaave's syndrome". BMC Gastroenterol. 10: 29. doi:10.1186/1471-230X-10-29. PMC 2847967. PMID 20226056.

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