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April 18, 2026Annals of The Royal College of Surgeons of England0 citationsOpen Access

Surgical versus endoscopic management of Boerhaave’s syndrome: a systematic review and meta-analysis

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TRT RebackJBJ ButterworthSSS Strong

Key Points

  • To compare the effectiveness of surgical and endoscopic management for Boerhaave's syndrome.
  • Systematic review of existing studies
  • Meta-analysis of survival rates and re-intervention rates
  • Comparison of treatment outcomes between surgical and endoscopic approaches
  • Surgical repair shows higher survival rates compared to endoscopic therapy
  • Endoscopic therapy has high re-intervention rates
  • Individualized treatment selection improves management outcomes

Abstract

Primary repair remains the cornerstone of management for Boerhaave's syndrome. Endoscopic therapy offers comparable survival but is associated with high re-intervention rates. Early diagnosis and individualised treatment selection are essential.

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Cite This Study

Reback et al. (2026) studied this question.

synapsesocial.com/papers/69e31fcb40886becb653ef06https://doi.org/10.1308/rcsann.2026.0031
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endoscopic Management of Boerhaave syndrome: Are outcomes better than surgery? A Case Report and Review of Literature2024 · 2 citations
  2. 2Surgical treatment of Boerhaave syndrome in the past, present and future: updated results of a specialised surgical unit2024 · 7 citations
  3. 3Treatment strategies for Boerhaave syndrome: multinational retrospective cohort study2025
  4. 4Treatment strategies for Boerhaave syndrome: multinational retrospective cohort study2025 · 2 citations
  5. 5Laparoscopic Management of Boerhaave Syndrome: Case Series and Narrative Review2025