Get Treatment For Esophageal Rupture

Great Surgical Care at Marina del Rey Hospital

Why Choose Cedars Sinai Marina del Rey Hospital for Esophageal Rupture Treatment?

Because esophageal ruptures are medical emergencies, our skillful and talented surgeons are ready to provide you with the treatment you need within the shortest time possible. Our hospital is equipped with state-of-the-art technology that allows our surgeons to perform the procedure you need to treat esophageal rupture with minimal risks of postoperative complications. If you choose Cedars Sinai Marina del Rey Hospital for the treatment of esophageal rupture, you will receive quality healthcare in a warm and compassionate environment, as we always strive to create a comfortable atmosphere for every patient who requests our services.

When there is a tear penetrating the wall of the esophagus, esophageal rupture occurs. It is important to know that esophageal ruptures can be fatal, which is why they require medical attention immediately. The only treatment for esophageal ruptures is surgery. A rupture in the esophagus can cause air, food, and stomach acid to escape the esophagus, thereby leading to severe inflammation in the chest.

Furthermore, fluid may accumulate around the lungs, a condition that is medically known as pleural effusion. Unfortunately, even when the condition is attended to within a timely fashion, the risk of death remains high.

The only effective treatment for esophageal ruptures is emergency surgery since it is often a fatal condition. During surgery, the tear in your esophagus will be repaired so that no air, food, or stomach acid will further escape into the chest. Another essential procedure you will have to undergo if you have this condition is drainage of the surrounding area. However, before you undergo surgery, you will be given broad-spectrum antibiotics to prevent potential infection, as well as fluids intravenously to treat low blood pressure. Medicine that you may be prescribed are:

  • gentamicin
  • metronidazole
  • piperacillin
  • tazobactam

Symptoms of Esophageal Rupture

The symptoms of esophageal rupture include:

  • chest pain
  • abdominal pain
  • fever
  • vomiting
  • hematemesis
  • shock
  • subcutaneous emphysema
  • Hamman sign
  • a crackling sound when the heart beats

Diagnosis of Esophageal Rupture

There are multiple tests and exams the doctor will employ to diagnose esophageal rupture, the most common being esophagoscopy, which can reveal the location and size of the tear. Another useful test to diagnose esophageal rupture is esophagography. During this medical procedure, you will be asked to swallow a contrast agent diluted in water so that the doctor will subsequently be able to see the damage in your esophagus on X-rays. The contrast agent you will be given is not barium, as barium can further irritate your esophagus. A CT scan may also be used to diagnose esophageal rupture, as it can show in great detail the extent of the tear in your esophagus.

There are multiple causes of esophageal rupture, the most common being:

  • severe vomiting
  • swallowing a large piece of food
  • severe injury or trauma to the esophagus
  • swallowing cleaning fluids, strong chemicals, or a foreign object
  • ulcers in the esophagus
  • esophageal cancer
  • lifting a heavy object
  • straining during defecation
  • endoscopy

It is worthy of note that approximately 56% of esophageal ruptures occur because of incorrectly performed medical procedures, whereas only 10% of esophageal ruptures are the result of violent vomiting.

There are not many ways in which you can avoid esophageal rupture since the condition is usually caused by a poorly carried out medical procedure. However, there are some prevention tips you should take into consideration, such as:

  • avoiding lifting heavy objects
  • avoiding straining during defecation
  • properly chewing your food before swallowing it
  • treating a potential eating disorder due to which you vomit frequently
  • wearing your seatbelt when driving or riding in a car to avoid injury to the esophagus

Appointments & Follow-Up Care at Marina del Rey Hospital

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