 |
| Before the procedure |
Panchkula: Life of a 76 year
old man saved in Alchemist Hospital with a new endoscopic technique, for an
uncommon condition known as Boerhaave’s syndrome.
76years old patient Mr. Tarsem
Singh was admitted in Alchemist Hospital with the history of recurrent bouts of
vomiting with brown coloured vomitus associated with severe pain in upper
abdomen and lower chest region.
The patient underwent endoscopy
by Dr. Daksh Khurana Sr.Gastroenterologist Alchemist Hospital, which showed a
linear tear at junction of food pipe (esophagus) & stomach & small
fistulous opening at the top end. CT Scan also confirmed the above findings. In
the past this
 |
| Complete closure of the hole in food pipe with over the scope clip |
Patient Tarsem Singh was
diagnosed to have a condition called as Mallory Weiss tear with Boerhaave’s syndrome in medical terminology. He
is a known diabetic / hypertensive and a patient of heart disease on blood thinning medication. He was a very high risk candidate for surgery
in view of old age and comorbidities. A new endoscopic technique was done on
him, which saved the life of the patient and avoided surgery. Complete closure
of the hole in food pipe was done with over the scope clip (OTSC) with
endoscopy.
Patient recovered well from his
disease and is on regular follow up and eating well.
Mallory-Weiss syndrome is a
condition marked by a tear in the mucous membrane, or inner lining, where the
esophagus (the tube that connects your throat to your stomach) meets the
stomach. Severe and prolonged vomiting can result in tears in the lining of the
esophagus, while Boerhaave's
syndrome is spontaneous rupture of the oesophagus associated with the result forceful
vomiting which is one of the most lethal diseases of the gastrointestinal
tract, with a very high mortality rate.
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