103 results
Boerhaave’s syndrome - Overview

- Dr. Jonathan Carter 

#Boerhaaves #Syndrome #Diagnosis #Overview
Boerhaave’s syndrome ... Jonathan Carter #Boerhaaves
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Motility Disorders Achalasia ... Spasm Jackhammer Esophagus
Boerhaave Syndrome 
Postemesis 
Iatrogenic (most common)
Left Posterolateral most common

Mackler's Triad:
Lower Chest Pain
Vomiting
Subcutaneous Emphysema

#Boerhaave #Syndrome #Diagnosis #Signs
Boerhaave Syndrome ... Emphysema #Boerhaave
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Bleed Upper: • Esophagus ... Mallory Weiss, Boerhaave
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
joined to the esophagus ... remind you of Achalasia ... distinguish it from achalasia
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Endoscopy Boerhaave ... DrBloodandGuts #Boerhaave ... endoscopy #video #EGD #esophagus
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Boerhaave Syndrome ... esophageal perforation (Boerhaave ... DrBloodandGuts #Boerhaave
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Sjogren, web • Mid esophagus ... scleroderma, MCTD, achalasia
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Esophageal Perforation (Boerhaave ... #Boerhaave #Syndrome ... endoscopy #video #EGD #esophagus