Boerhaave's syndrome: Diagnosis and surgical management

Boerhaave's syndrome: Diagnosis and surgical management

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Figure 3: Suggested treatment paradigm for spontaneous oesophageal perforation

 

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Early diagnosis based on water soluble swallow study/CT scan

Uncontained leak

Contained leak (usually late presentations)

Presentation<24hrs

Presentation>24 hours or repair not possible

Transthoracic/ Transhiatal repair + Decompressing gastrostomy & feeding jejunostomy

Closure over t-tube or Exclusion + diversion or Oesophagectomy

Nil by mouth Nasogastric tube decompression Intravenous antibiotics HDU/ITU management Nutritional Support

Deterioration

Recovery

Delayed reconstruction with colon or supercharged jejunum

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the royal college of surgeons of edinburgh

11 th conference for dental care professionals New Horizons – Responsibilities and Opportunities Saturday 17 March 2007 09:00 – 16:15 £48 – Individuals £44 – Groups of three or more*

www.surgeonshallcomplex.com An exciting new conference facility in the heart of Edinburgh at the Royal College of Surgeons on Nicolson Street, 10 minutes from the Castle and Princes Street. The complex offers a fantastic variety of venues, ideal for holding conferences, meetings or social events and the hotel provides quality accommodation for those attending the complex or simply visiting the city. Tel: 0131-527-3434 e-mail: [email protected]

programme – oral cancer, career considerations & child protection Diagnosis & Understanding Causes of Oral Cancer and Our Role in Prevention

Professor G R Ogden Unit of Oral Surgery & Medicine Dundee Dental School & Hospital

Surgical Treatment

Mr J Devine, Consultant Southern General Hospital, Glasgow

Adjunctive & Supportive Treatment

Mrs F Haston, Clinical Nurse Specialist Western General Hospital, Edinburgh

Dental Rehabilitation

Mr P Stone, Implant/Oral Surgeon Perth Royal Infirmary

New Opportunities for Dental Care Professionals

Mr H B Mathewson General Dental Council

Profit & Loss

Dougal Powrie Chartered Accountant

The Role of the Dental Team in Child Protection

Dr A Cairns, Clinical Lecturer Glasgow Dental Hospital

*(pp from the same Practice or Institution)

Approved for 4 CPD Units



  

       

FOR FURTHER INFORMATION PLEASE CONTACT: The Faculty of Dental Surgery, 10 Hill Square, Edinburgh eh8 9dw 0131 5271608 or [email protected]

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