Re: A minimally invasive approach to the management of Boerhaave's: is it feasible?

Kulasegaran et al. presented four clinical cases to support their contention that minimally invasive approach is feasible in the management of Boerhaave’s syndrome. All cases had covered stents for the oesophageal defects but only two patients responded well whereas the third patient required additional VATs decortication and the fourth patient underwent major laparotomy and bilateral thoracotomies, not at all a minimally invasive approach. The use of stents has the risk of promoting peri-oesophageal abscess as it converts a well internallydrained contained perforation into an undrained infected cavity, and may have been the