Can alcoholism cause a ruptured esophagus?

Can alcoholism cause a ruptured esophagus?

Alcohol use disorder is certainly a risk factor. The classic presentation of Boerhaave’s syndrome follows repeated episodes of vomiting after excessive food and/or alcohol consumption. Alcohol use disorder sets the stage, as do binge eating and bulimia.

Other possible risk factors include underlying esophageal disorders such as esophagitis, eosinophilic esophagitis, Barrett’s esophagus and peptic ulcer disease. However, most people affected by Boerhaave’s syndrome have a normal esophagus.