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Updated: Apr 25, 2026

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
Salvaging the Esophagus: Endoscopic Success After Damage-Control Surgery for Boerhaave Syndrome
Helena Bugacov1, Cristina Cusmai1, Tian Sun2
1Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
Abstract:
Boerhaave syndrome is a life-threatening condition often requiring emergency surgery, but recent endoscopic advancements offer alternatives. We present a case of esophageal perforation in a 58-year-old man managed with damage-control esophageal exclusion surgery, followed by luminal salvage with endoscopic stenting. Surgery revealed a large distal esophageal tear, which was excluded from a stapling device. During endoscopic evaluation, a wire was passed through the staple line, thus allowing stent deployment and restoring patency. The stent was later removed, with complete tissue recovery. This case highlights the potential of advanced endoscopic therapies to manage esophageal perforations and reduce the need for surgical procedures.
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