Bernal RA, González RG, Samano PJE

Language: Spanish
References: 13
Page: 138-141
PDF size: 90.93 Kb.

ABSTRACT

Esophageal perforation in children is infrequent, the main cause is iatrogenic, the one produced in antireflux surgery is of lesser incidence, other causes: Orchestrated procedures, unusual positioning of nasogastric tube and foreign objects. Its treatment is controversial; the most effective being a conservative approach with low morbidity and mortality. Material and methods: A retrospective study from 2004 to 2010 was made, seven patients with esophageal perforation were included. Results: Four patients were male and three female, average age five years. Causes were: six surgical procedures, one case of positioning of nasogastric tube. All perforations were in the gastroesophageal junction. Three were managed with conservative approach and in four that had surgical procedure primary closing with reinforcing was performed. Average stay was 29 days. Conclusions: Esophageal perforation in children is infrequent, the main cause is iatrogenic. In our cases the most frequent cause was by funduplicatura, followed by armed procedures. Cases detected by surgical procedure were repaired successfully at surgery; in cases diagnosed postoperatively conservative treatment was effective since there was no mortality. If criteria for conservative treatment is fulfilled, this should be the first choice.

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