Ishikawa Yumiko, Tagami Takashi, Hirashima Hayato, Fukuda Reo, Moroe Yuuta, Unemoto Kyoko
Department of Emergency and Critical Care Medicine, Nippon Medical School Tama Nagayama Hospital.
Department of Gastroenterology, Utsunomiya Memorial Hospital.
J Nippon Med Sch. 2017;84(5):241-245. doi: 10.1272/jnms.84.241.
Boerhaave syndrome, the spontaneous perforation of the esophagus, is an emergency, life-threatening condition. Current endoscopic treatment options include clipping and stenting, but the use of polyglycolic acid (PGA) sheets for treating the condition has not been reported. In recent years, PGA sheets have been used after endoscopic submucosal dissection to prevent perforations and stricture formation in patients treated for early-stage carcinoma. We report the cases of two patients with Boerhaave syndrome who were successfully treated using PGA sheets. The present clinical outcomes suggest that the use of PGA sheets is feasible and safe for treating patients with Boerhaave syndrome, and that they may be another treatment option.
博雷尔哈夫综合征，即食管自发性穿孔，是一种危及生命的急症。目前的内镜治疗方法包括夹闭和支架置入，但尚未见使用聚乙醇酸（PGA）片治疗该病的报道。近年来，PGA片已被用于内镜黏膜下剥离术后，以预防早期癌患者发生穿孔和狭窄形成。我们报告了两例使用PGA片成功治疗的博雷尔哈夫综合征患者。目前的临床结果表明，使用PGA片治疗博雷尔哈夫综合征患者是可行且安全的，它们可能是另一种治疗选择。
