Why do we need Gastrostomy after doing Thoracotomy in Boerhaave syndrome?
In boerhaeve synd : do left posterolateral thoracotomy and resect the perforated portion and close the distal esophagus and do proximal esophagOstomy in neck for passage of saliva to come out and Insert chest tube . How will you feed him now ? So do laparotomy at the same time and do feeding gastrosTOMy to feed him for next few weeks and then repair if he survives till then .