João Estorninho, Raquel Pimentel, Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Amaro, Pedro Figueiredo
{"title":"Successful Endoscopic Closure of Esophageal Perforation in Boerhaave Syndrome Using the Over-the-Scope Clip.","authors":"João Estorninho, Raquel Pimentel, Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Amaro, Pedro Figueiredo","doi":"10.1159/000527317","DOIUrl":"10.1159/000527317","url":null,"abstract":"<p><p>Boerhaave syndrome (BS) is a rare but potentially fatal condition. Although surgery is considered the standard treatment, endoscopic therapy has acquired an important role as a minimally invasive management approach. The authors describe 2 cases of middle-aged male patients, presenting with spontaneous esophageal perforation after severe straining and vomiting. In the first case, the patient presented with a bone impaction in the upper esophagus successfully removed by rigid esophagoscopy. After the procedure, a chest X-ray/cervicothoracic computerized tomography scan (CT) showed a left hydropneumothorax and pneumomediastinum with oral contrast leak at the lower esophagus. In the second case, the patient presented to the Emergency Department with severe chest pain after an episode of vomiting. The CT showed a massive pneumomediastinum, subcutaneous emphysema, and an oral contrast leak compatible with BS. The patient was initially submitted to surgical suture, but contrast extravasation persisted after 12 days. After multidisciplinary team discussion of both patients, an upper gastrointestinal endoscopy was performed, which revealed pericentimetric wall defects at the distal esophagus. These were successfully closed using an over-the-scope clip (OTSC). After at least a 9-month follow-up, patients have remained clinically well with no relapse. The authors highlight the severity of these clinical cases and the endoscopic option that proved to be decisive in addressing BS. The favorable outcomes suggest a role for the OTSC approach in closing spontaneous esophageal perforation both as first-line and as rescue therapy after a surgical failure.</p>","PeriodicalId":87064,"journal":{"name":"Bristol medico-chirurgical journal (1883)","volume":"47 1","pages":"444-450"},"PeriodicalIF":0.9,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87563038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A System of Medicine?","authors":"","doi":"10.2307/j.ctv131bsw5.5","DOIUrl":"https://doi.org/10.2307/j.ctv131bsw5.5","url":null,"abstract":"","PeriodicalId":87064,"journal":{"name":"Bristol medico-chirurgical journal (1883)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68773715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Continuity and Change","authors":"T. Carwardine","doi":"10.1017/9781108234108.004","DOIUrl":"https://doi.org/10.1017/9781108234108.004","url":null,"abstract":"a numerical relationship (Bode's Law). The visible stars, largely aggregated in a circumferential view as the \" milky way,\" are a teeming multitude in various stages of evolution, self-luminous. They are suns, perhaps with non-luminous worlds rotating round them. The spectra of the stars comprise three groups : (i) Those in which hydrogen, helium, and magnesium are prominent, hydrogen predominating in","PeriodicalId":87064,"journal":{"name":"Bristol medico-chirurgical journal (1883)","volume":"42 1","pages":"201 - 210"},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/9781108234108.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45648220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Book Review","authors":"Josephine N. Walwema","doi":"10.1145/3282665.3282677","DOIUrl":"https://doi.org/10.1145/3282665.3282677","url":null,"abstract":"Skinner, K., & Merholz, P. (2016). Org Design for Design Orgs: Building and Managing In-House Design Teams. O'Reilly Media.\u0000 In Org Design for Design Orgs: Building and Managing In-House Design Teams, Kristin Skinner and Peter Merholz lay out a practical guide for \"creating and leading design teams\" within the context of design as \"part of strategic planning\" (Appendix B). A practical guide, the book is divided into ten chapters, each dealing with a component of working with design teams. The book aims to bridge the gap left out by texts that focus on methods, tools, and outcomes, but leave out the practical elements of setting up design teams. It shows how design teams can operate with a design culture that successfully interacts with other departments within an organization in the digital and connected age.","PeriodicalId":87064,"journal":{"name":"Bristol medico-chirurgical journal (1883)","volume":"54 1","pages":"301 - 312"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/3282665.3282677","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43750117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial Notes","authors":"A. Schumann","doi":"10.1080/17445760.2018.1441413","DOIUrl":"https://doi.org/10.1080/17445760.2018.1441413","url":null,"abstract":"Biography: Andrew Schumann He received his PhD at the Belarusian State University, Minsk, Belarus. His research focuses on logic and philosophy of science with an emphasis on non-well-founded phenomena: self-references and circularity. He contributed mainly to research areas such as reasoning under uncertainty, probability reasoning, non-Archimedean mathematics, as well as their applications to cognitive science. He is engaged also in unconventional computing, decision theory, logical modelling of economics.","PeriodicalId":87064,"journal":{"name":"Bristol medico-chirurgical journal (1883)","volume":"47 1","pages":"159 - 163"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17445760.2018.1441413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43895520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
