M.V. Burmistrov1, 2, V.A. Popov1, V.Y. Matveev1, 3, M.A. Nazmeev1, B.A. Magomedov1, R.R. Gaisin1, R.A. Hramov1, A.I. Kukushkin1
1State autonomous healthcare institution Republican Clinical Hospital of the Republic of Tatarstan Ministry of Health, Kazan
2Institute of Fundamental Medicine and Biology of Kazan Federal University, Kazan
3Kazan State Medical University, Kazan
Popov Vladimir A. ― endoscopist of the endoscopy department, research fellow of the research department
Republican Clinical Hospital of the Republic of Tatarstan Ministry of Health
138 Orenburgsky tract, Kazan, 420000, Russian Federation, tel.: +7-999-156-88-20, e-mail: lyapac@mail.ru
Abstract. Endoscopic vacuum therapy (EVT) is a new and effective method of endoscopic minimally invasive treatment of full-thickness defects of the esophagus and esophageal anastomoses. The method showed initially successful results in rectal surgery in the treatment of pararectal abscesses in case of anastomotic failures. Subsequently, this method began to be successfully used for failures of intrathoracic esophageal anastomoses, and later for acute perforations of the esophagus, including Boerhaave syndrome. It is believed that early diagnosis (within the first day) of acutely occurring full-thickness defects of the esophagus is a decisive prognostic factor in the choice and outcome of treatment. This article presents a clinical case of successful treatment with EVT of Boerhaave syndrome, which was diagnosed at a late stage.
Key words: endoscopic vacuum therapy, Boerhaave syndrome, perforation, oesophagus.