Small holes in the esophagus sometimes heal on their own. Usually, though, surgery is needed to close the hole. A person with cancer of the esophagus may get better with radiation therapy or chemotherapy, but may still need surgery to remove the affected area.
Any surgery can cause bleeding, infection, or allergic reaction to the anesthesia.
After the esophageal perforation is repaired, the cause of the perforation must be managed. Gastroesophageal reflux disease, for instance, needs careful management to prevent complications.
Once it has been repaired, an esophageal perforation usually needs no monitoring. The diseases that cause it may need to be followed for some time.