Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Mar-Apr;26(2):102-6.
Epub 2013 May 31.

[Esophageal perforation in children: a review of one pediatric surgery institution's experience (16 years)]

[Article in Portuguese]
Elizabete Vieira  1 , Maria João Cabral, Mroslava Gonçalves
Affiliations
  • PMID: 23809740
Free article

[Esophageal perforation in children: a review of one pediatric surgery institution's experience (16 years)]

[Article in Portuguese]
Elizabete Vieira et al. Acta Med Port. 2013 Mar-Apr.
Free article

Abstract
in English, Portuguese

Introduction: The objective of the study was to evaluate the experience of our service in the treatment of esophageal perforations.

Materials and methods: Retrospective chart review of the nine cases occurred between January 1, 1996 and December 31, 2011. Seven occurred after accidental ingestion of foreign bodies and in two patients were iatrogenic lesions after esophagoscopy with dilation: a peptic stricture in one case and in the other stenosis of the esophageal anastomosis in a child operated for esophageal atresia.

Results: In 78% of cases the initial approach was medical, with healing of the perforation confirmed on average after 20 days, 22% of patients (2 cases) underwent surgery without success, one of them healed without sequelae having nothing by mouth and medical therapy, in the other case there was a need for further colon esophagoplasty. There was no mortality.

Discussion: Esophageal perforation is one of the most serious injuries of the alimentary tract, continues to be devastating, and difficult to diagnosis and treatment. The recognition of this complication is critical for a successful treatment.

Conclusions: The delay of the diagnosis is associated with a mortality which can oscillate between 20 and 40%.

Introdução: O estudo teve por objetivo avaliar a experiência do nosso Serviço no tratamento das perfurações esofágicas. Material e Métodos: Análise retrospetiva de nove casos ocorridos entre 1 de Janeiro de 1996 e 31 de Dezembro de 2011. Destes casos, sete ocorreram após ingestão acidental de corpos estranhos e em dois tratou-se de lesões iatrogénicas após dilatação esofágica: por estenose péptica num caso e no outro por estenose da anastomose esofágica término-terminal de uma criança operada por atrésia do esófago. Resultados: Em 78% dos casos a abordagem inicial foi médica, com encerramento comprovado da perfuração em média ao fim de 20 dias; 22% dos doentes (dois casos) foram submetidos a cirurgia sem sucesso, acabando um deles por curar sem sequelas com pausa alimentar e terapêutica médica; no outro caso verificou-se necessidade de realizar posteriormente uma esofagocoloplastia. Na nossa série não se registou mortalidade. Discussão: A perfuração esofágica é uma das lesões mais graves do trato alimentar, continuando a ser devastadora, e, de difícil diagnóstico e tratamento. O reconhecimento desta complicação é fundamental para o seu tratamento com sucesso. Conclusões: O atraso do diagnóstico está associado a uma mortalidade que pode oscilar entre os 20 e 40%.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

Publication types

LinkOut - more resources