esophageal perforation…

Medical experts recommend this detailed explanation.

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digestive system, digestive system organs, perforation, the esophagus, an esophageal perforation, hole, in the esophagus, tube, food passes, mouth, stomach, a perforation, hole, the contents, the esophagus, pass, mediastinum, surrounding area, in the chest, often results in infection, the mediastinum, mediastinitis, most common cause of an esophageal perforation is injury, a medical procedure esophagoscopy, a procedure to examine the esophagus, placement of a naso-gastric tube, esophagus, become perforated, the result of a tumor, gastric reflux, ulceration, disease process, a mechanical problem violent retching, swallowing a foreign object, caustic chemicals, less common causes, injuries from penetrating, blunt trauma, injury, esophagus, an operation on another organ near the esophagus, rare cases have also been associated, childbirth, defecation, seizures, heavy lifting, forceful swallowing, main symptom is pain at, progress to shock, death, untreated, patients, a perforation, in the uppermost portion, the esophagus, have neck pain, stiffness, air bubbles underneath the skin, patients, a perforation, in the middle portion, lowermost portion, the esophagus, have difficulty swallowing, chest pain, difficulty breathing, signs include fast breathing, rapid heart rate, low blood pressure, fever, a chest x-ray, reveal that there is air, in the soft tissues, the chest, fluid that has leaked, esophagus, space around the lungs, collapse, the lung, a chest ct scan, reveal the formation of an abscess, in the chest, evidence of esophageal cancer, a water-soluble contrast swallow, motion picture x-rays after drinking dye, location, the perforation, divided into initial, definitive phases, early surgery is appropriate, all patients, every effort, made to have surgery, 24 hours of, the perforation occurred, initial phase includes diagnostic studies, the location, the hole, administer iv fluids, administer iv antibiotics, prevent, treat infection, fluid that has collected around the lungs treated, a chest tube to drain it away, definitive treatment, repair the perforation, patients, perforation, in the uppermost, neck region, the esophagus, perforation, heal by patient, does not eat, drink, in this case, nutrition must be provided by another source, stomach feeding tube, perforation, in the mid-portion, lower-most portions, the esophagus, an operation, repair, depending on the size, location, the perforation, leak treated by simple repair, by removal, the esophagus, patients, an early diagnosis, less than 24 hours, outlook is good, survival rate is 90%, surgery is accomplished, rate drops to, 50%, treatment is delayed, complications, permanent damage, esophagus, narrowing, stricture, abscess formation in, around the esophagus, infection in, around the lungs, demand immediate medical attention, in the hospital, surgery, placement of a tube, in the esophagus, have pain, difficulty swallowing, breathing, have other reason to suspect you, have esophageal perforation, time, the essence in treating this condition, nature, injuries, difficult, prevent.