Esophageal Perforation

by Carlo Raj, MD

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    00:01 What if it perforates? What if your esophagus perforates? We call this Boerhaave Syndrome.

    00:08 Things change, the complexion of the disease itself changes; occurs after an alcoholic binge with violent retching. So tear is already there, and with the thinning of the lining of the esophagus, imagine… think about where you are, you’re in the thoracic cavity and you’re going to rupture through your esophagus. Left posterior part is the lowest… is the most common site, because it’s the weakest portion of esophagus. And most perforations managed conservatively. You want to be really careful here because delicate, delicate situation. Your patient increases his or her risk of mortality.

    About the Lecture

    The lecture Esophageal Perforation by Carlo Raj, MD is from the course Esophageal Disease.

    Included Quiz Questions

    1. Perforation of the left posterior part of the esophagus
    2. Incompetent lower esophageal sphincter
    3. Diffuse spasm of the esophagus
    4. Increased pressure in the upper esophageal sphincter
    5. Mucosal tear in the esophagus
    1. Endoscopic cauterization
    2. Volume resuscitation
    3. Chest X-ray
    4. CBC
    5. Diet modification and alcohol cessation

    Author of lecture Esophageal Perforation

     Carlo Raj, MD

    Carlo Raj, MD

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