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The article presents the study that investigates the surgical and endoscopic treatment for spontaneous esophagus rapture. The topics discussed include surgical-related challenges experienced by physicians, the implications of delayed diagnosis of Boerhaave's syndrome (BS) on the health and welfare of patients, and the need for the treatment of BS to start during the diagnostic investigation.

The article presents the research paper of Dr. Herman Boerhaave, published in 1724, related to the spontaneous esophagus rapture, known as Boerhaave's syndrome. The topics discussed that spontaneous rapture of the esophagus of his 51-year-old friend Jan Gerritt van Wassenaer, the symptoms he experienced like indigestion, abdominal pain, and vomitting, and the procedures he carried out to treat his friend.

Spontaneous perforation of the esophagus (Boerhaave syndrome) is a rare disease that poses a serious surgical challenge. The analysis of literature concerning the Boerhaave syndrome reveled cases of recurrent spontaneous perforation of the esophagus. The incidental nature of this condition calls for more accurate assessment of all such cases. The authors made a detailed evaluation of the data obtained from eight reports of recurrent Boerhaave syndrome. The data is presented as a summary table comparing the clinical course and outcomes of patients with the primary Boerhaave syndrome as well as recurrent Boerhaave syndrome. [ABSTRACT FROM AUTHOR]