Mild esophageal ruptures have the potential to heal on their own. If the rupture of the esophagus is more serious and the bleeding is heavier, the possibility of self-healing cannot exist. 1. Mild rupture: For patients with mild rupture of the esophagus, such as puncture rupture of the esophagus caused by a fishbone or other foreign body, the rupture is usually small. After removal of the foreign body, a small rupture of the esophagus may heal on its own with water fasting and conservative treatment as prescribed by the doctor. 2. Severe rupture: If the esophagus is ruptured due to a large wound, digestive fluids usually enter the pleural cavity. If the wound is not cleaned, it may become infected and the wound will expand further and will not heal on its own. Generally the wound needs to be repaired. If it does not heal, the pleural cavity needs to be cleaned to prevent the esophageal rupture from not healing. When an esophageal rupture occurs, surgery is needed as soon as possible for severe esophageal ruptures, which can be life-threatening if treated blindly and conservatively.