An esophageal perforation is a tear or hole in the esophagus. While it is uncommon, the condition is serious and requires immediate treatment.
The esophagus is the tube that passes food and liquids from the mouth to the stomach. Doctors divide the esophagus into three sections:
- the cervical area, which runs inside the neck
- the chest area
- the abdominal area, which connects the esophagus to the stomach
This article will review the causes and symptoms of esophageal perforation, how doctors treat it, its possible complications, and the outlook of people with a perforated esophagus.
- traumatic penetrative injuries due to external forces
- complications of other underlying conditions that cause ulcers in the throat, such as acid reflux
- impact injuries
- certain medical procedures, such as endoscopy
- accidentally swallowing a sharp object or corrosive liquid, such as bleach
- spontaneous perforation due to a buildup of pressure in the esophagus
People with Boerhaave syndrome
The symptoms of esophageal perforation typically include pain near the perforation site and difficulty swallowing. However, symptoms
Other symptoms of esophageal perforation include:
- nausea and vomiting
- pain or stiffness in the neck, if the perforation has occurred in the cervical area
- hoarseness or other changes in voice tone
- blood in the vomit
- low blood pressure
- increased heart rate
- chest wall palpitations
- fast breathing
- skin discoloration
The dye used during the CT scan can also help determine the location and extent of the perforation. According to
In some cases, people with esophageal perforation
They will then proceed with repairing the perforated esophagus. Depending on the extent of the damage, doctors may decide to carry out an open surgery rather than another less invasive form of surgery.
Doctors may also need to install a feeding tube, as people cannot swallow during their recovery.
- Intravenous fluids: This is for restoring fluid levels lost while vomiting, bleeding, or having difficulties swallowing.
- Intravenous medications: Doctors may give antibiotics and antifungal drugs to reduce the risk of infections.
- Percutaneous drainage: This procedure removes the fluids that may have leaked from the esophagus into the body’s cavity.
- Endoscopic stent placement: For small ruptures, doctors
may considerfixing the perforation by placing a stent during an endoscopic procedure instead of performing surgery. During this procedure, a doctor passes an endoscope down the person’s throat, reaching the site where the rupture occurred. They will then place a stent, sutures, or clips to repair the hole.
Esophageal perforation is a life threatening condition that requires immediate attention. In about
Receiving a prompt diagnosis and treatment within 24 hours of the perforation occuring can significantly improve the outcome of a person with a perforated esophagus. The condition has a
- pneumothorax (collapsed lung), where air leaks into the cavity between the lungs and the chest wall
- septicemia, which happens when germs enter the bloodstream
- subcutaneous emphysema, where air becomes trapped in tissues beneath the skin
- necrosis (cell death) in the tissues inside the chest
These complications are life threatening and may cause death.
Other reasons to contact a doctor may include:
- swallowing something that could damage the lining of the esophagus
- having a known condition that can cause the rupture of the esophagus
- sustaining significant trauma
Here are some common questions about esophageal perforation:
Is esophageal perforation curable?
What is the survival rate for esophageal perforation?
Esophageal perforation is life threatening. Roughly
What is the recovery time like?
The recovery time of esophageal perforation
Esophageal perforation is a life threatening condition that requires prompt treatment. It may happen as a complication of an underlying condition or as a result of trauma, particularly from penetrating injuries such as gunshot wounds.
Doctors typically perform surgery to treat the rupture of the esophagus. Depending on the extent of the damage, doctors may treat esophageal perforation with minimally invasive surgical procedures such as endoscopy. However, in more severe cases, people may need to undergo open surgery.