What happens if you perforate your esophagus?

What happens if you perforate your esophagus?

The esophagus is the tube that connects the mouth with the stomach. When a tear occurs in this tube, the condition is known as esophageal rupture. A rupture allows food or fluids to leak into the chest and cause severe lung problems.

Is esophageal injury life threatening?

Esophageal perforation is a life threatening lesion leading to death in 6–34% of cases according to the status of the patients, the free interval between perforation and treatment, the presence of underlying esophageal disease, the site and cause of the perforation [1,2].

Is esophageal rupture rare?

Spontaneous esophageal rupture is a rare and dangerous entity, which today is commonly known as Boerhaave syndrome. Today, most instances of esophageal perforation are iatrogenic, but this remains a potentially devastating condition.

How esophageal perforation is treated?

Most people with a perforated esophagus do need surgery, especially if the hole is located in the chest or abdominal areas. During the procedure, your surgeon will remove scar tissue from the area around the perforation and then sew the hole shut.

Can a perforated esophagus heal?

A perforation in the uppermost (neck region) part of the esophagus may heal by itself if you do not eat or drink for a period of time. In this case, you will need a stomach feeding tube or another way to get nutrients. Surgery is often needed to repair a perforation in the middle or bottom portions of the esophagus.

How long does esophagus trauma take to heal?

The esophagus is the tube that connects your throat to your stomach. Mallory-Weiss syndrome (MWS) is a condition marked by a tear in the mucous membrane, or inner lining, where the esophagus meets the stomach. Most tears heal within 7 to 10 days without treatment, but Mallory-Weiss tears can cause significant bleeding.

What antibiotics treat esophageal perforation?


  • Ampicillin/sulbactam OR ticarcillin/clavulanate +/- clindamycin (oral anaerobes)
  • Penicillin allergy: clindamycin/ gentamicin.

How long does it take to heal esophagus?

Untreated esophagitis can lead to ulcers, scarring, and severe narrowing of the esophagus, which can be a medical emergency. Your treatment options and outlook depend on the cause of your condition. Most healthy people improve within two to four weeks with proper treatment.

How do you tell if your esophagus is torn?

Signs and symptoms of a perforated esophagus include:

  1. Difficulty swallowing.
  2. Vomiting or retching followed by severe chest pain.
  3. Difficulty breathing.
  4. Difficulty speaking.
  5. Neck pain, shoulder pain, upper or lower back pain. Discomfort may increase when lying down flat.
  6. Rapid breathing and heart rate.
  7. Fever.
  8. Bloody vomit (rare)