Boerhaave syndrome classification
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
- ↑ McGovern M, Egerton MJ (1991). “Spontaneous perforation of the cervical oesophagus”. Med. J. Aust. 154 (4): 277–8. PMID 1994204.
- ↑ 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.
- ↑ 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.
- ↑ 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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