Endoscopic management of Boerhaave syndrome: a comprehensive review of techniques, outcomes and future directions

Sayra Karelia Rivera Nájera; Eduardo Ibrahim Hernández Solís; Ethel Jenny García Cruz

doi:10.18203/2349-2902.isj20242781

Authors

Sayra Karelia Rivera Nájera Instituto Mexicano del Seguro Social, Hospital General Regional No. 1 Vicente, Guerrero, Acapulco de Juárez, Mexico
Eduardo Ibrahim Hernández Solís Instituto Mexicano del Seguro Social, Hospital General Regional No. 1 Vicente, Guerrero, Acapulco de Juárez, Mexico
Ethel Jenny García Cruz Instituto Mexicano del Seguro Social, Hospital General Regional No. 1 Vicente, Guerrero, Acapulco de Juárez, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20242781

Keywords:

Boerhaave, Esophageal, Endoscopic

Abstract

Boerhaave syndrome, characterized by spontaneous esophageal rupture, presents a critical condition requiring prompt diagnosis and intervention to reduce morbidity and mortality. Traditionally managed with surgical intervention, advancements in endoscopic techniques have emerged as viable alternatives, offering less invasive options with promising outcomes. This article provides a thorough review of the endoscopic management of Boerhaave syndrome, detailing the indications, techniques, and outcomes associated with various endoscopic approaches. We examine the role of esophageal stenting, clipping, and tissue sealants, alongside adjunctive therapies. Furthermore, we discuss patient selection criteria, procedural considerations, and potential complications. Our review highlights the evolving landscape of Boerhaave syndrome management, underscoring the importance of multidisciplinary collaboration and the need for further research to optimize patient outcomes.

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