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Esophageal Perforation
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Slides GD Esophagus.pdf
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Download Lecture Overview
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: Basic Principles with Carlo Raj.
Included Quiz Questions
A 45-year-old man presents to the emergency department after an episode of binge drinking. He presents with bloody vomiting and complains of severe shortness of breath and chest pain. His blood pressure is 90/40 mm Hg. On auscultation of the chest, you hear a crunching noise. What is the MOST likely pathology?
- Perforation of the left posterior part of the esophagus
- Incompetent lower esophageal sphincter
- Diffuse spasm of the esophagus
- Increased pressure in the upper esophageal sphincter
- Mucosal tear in the esophagus
Which of the following would NOT be a part of the management in a patient with Boerhaave syndrome?
- Endoscopic cauterization
- Volume resuscitation
- Chest X-ray
- CBC
- Diet modification and alcohol cessation
Author of lecture Esophageal Perforation
Carlo Raj, MD
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