{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:04:48Z","timestamp":1786554288359,"version":"build-2736575974"},"reference-count":17,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>&lt;i&gt;Objective:&lt;\/i&gt; Boerhaave\u2019s syndrome is a spontaneous rupture of the oesophagus with a lack of diagnostic and treatment consistency in the literature. Therefore, we reviewed all published literature in order to design a treatment algorithm based on the literature. &lt;i&gt;Study Design:&lt;\/i&gt; A systematic literature review written in the English language since 1975. &lt;i&gt;Results:&lt;\/i&gt; We reviewed all known literature. Treatment of the Boerhaave syndrome was divided into three categories: conservative, endoscopic and surgical approach. The survival rate of all treatments was 75, 100 and 81%, respectively. &lt;i&gt;Conclusion:&lt;\/i&gt; Boerhaave\u2019s syndrome should be treated endoscopically when diagnosed within 48 h and when there are no signs of sepsis. However, when a patient is diagnosed within 48 h and has a septic profile, thoracotomy with hemifundoplication and pleural\/mediastinal drainage should be performed; and in case of intra-abdominal leakage, a laparotomy for local repair should be performed. When a patient is diagnosed after 48 h, conservative treatment should be followed and only when a patient gets a septic profile is surgical treatment indicated.<\/jats:p>","DOI":"10.1159\/000191283","type":"journal-article","created":{"date-parts":[[2009,1,20]],"date-time":"2009-01-20T08:53:22Z","timestamp":1232441602000},"page":"1-6","source":"Crossref","is-referenced-by-count":142,"title":["Spontaneous Rupture of the Oesophagus: Boerhaave\u2019s Syndrome in 2008"],"prefix":"10.1159","volume":"26","author":[{"given":"J.P.","family":"de Schipper","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.F.","family":"Pull ter Gunne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.J.M.","family":"Oostvogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.J.H.M.","family":"van Laarhoven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2009,1,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2F0736-4679%2888%2990244-2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097%2F00004836-199912000-00003"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800590111"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-197806000-00008"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-197604000-00013"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1080%2F00365520600649277"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2F0002-9610%2881%2990040-4"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2810%2963335-8"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2810%2963554-0"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-198107000-00010"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.athoracsur.2005.08.047"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1067%2FS0016-5107%2803%2900008-7"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2001-17325"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1442-2050.2005.00476.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016%2FS0003-4975%2899%2900043-0"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.amjsurg.2002.11.004"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1442-2050.2006.00533.x"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/191283","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/191283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T23:20:04Z","timestamp":1745450404000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000191283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000191283","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009]]}}}