How is esophagus perforation treated?

summary

A few days ago, our department had a party, and then we ate sauerkraut. I accidentally swallowed the fish bone, which was quite big. So my esophagus began to ache. I had difficulty breathing, and my voice was hoarse. When I swallowed it, I felt very painful. So I went to the hospital for examination, and then I knew it was esophageal perforation, and I needed treatment, How to treat esophageal perforation? Let's share with you now.

How is esophagus perforation treated?

First: fasting: all patients with esophageal perforation should be fasted to avoid food flowing into the mediastinum or chest from the breach, which will aggravate the spread of infection, and ask the patients to spit out saliva as far as possible or place a gastric tube above the breach for suction.

Second: supportive therapy: fasting, severe infection and fluid loss often lead to dehydration, electrolyte imbalance and systemic exhaustion. Therefore, in addition to correcting dehydration and electrolyte disorder, nutritional support should be strengthened, whole blood or plasma should be infused, and food should be fed through nasogastric feeding, gastrostomy or jejunostomy.

Third: if the cervical esophageal perforation is repaired, an oblique incision can be made through the front edge of the left sternocleidomastoid muscle, dissecting layer by layer into the esophageal space, freeing the esophagus, intermittently suturing and repairing the fissure, flushing the incision, and placing drainage. For incision and drainage, the location of swelling and tenderness should be determined. Puncture should be performed before incision to further identify the location of abscess. If the mass and tenderness are diffuse on both sides of the neck, drainage can be done through the right neck incision, because the esophagus is far away from the right pleura, its space is wide, and drainage is good, so it is not easy to hurt the pleura. Cut the abscess and suck up the pus. If the foreign body is perforated, the foreign body should be taken out. Two or more cigarettes can be placed for drainage. The upper part of the abscess can be drained with cigarettes and the lower part with soft rubber tube.

matters needing attention

1. All patients with esophageal perforation should be fasted to avoid food flowing into the mediastinum or chest from the breach, which will aggravate the spread of infection. The patient should also be instructed to spit out saliva as much as possible or place a gastric tube above the breach for suction. 2. Small perforation, after recovery, need to pay attention to regular life, avoid strong tea, coffee and other stimulating food, avoid fried food, pay attention to diet light, at the same time pay attention to strengthen nutrition, maintain high protein, low fat, low salt diet, eat more vegetables and fruits and other vitamin rich food.