2010, Number 1
Rev Mex Cir Pediatr 2010; 17 (1)
Management of perforations and esophageal anastomotic leaks in pediatrics
Aguilar-Cota J, Jiménez-Urueta PL, Alvarado-Garcia R, Sanchez- Michaca V, Castañeda ORA
Language: Spanish
References: 10
Page: 6-10
PDF size: 824.59 Kb.
ABSTRACT
Introduction: Esophageal injury caused by surgery, has a morbi-mortality , because of its characteristics and behavior in the thorax it increases the risk of severe complications as mediastinitis and sepsis. Our presented experience of esopghageal injury caused for surgery, endoscopic.Materials and methods: A retrospective study , clinical y analytic study from Jenuary l987 a Jenuary 2009 was done in patients with esophageal injury. Injury mechanism, site of de injury, radiologic, endoscopic studies , and actual status of the patients were analized.
Results: There were 16 males and 14 females . Eighteen operated for colonic interposition presented cervical fistula. One patiente with cervical fistula for venodisecction. In the torax, 9 patients with perforation o fistula . Two patient with injury abdominal esofagus.
Discusión: The Frecuency of esophageal perforation in children is low, A conservative tretment must be used in the most of the cases in children. The current tendency is towards a non surgical conservative treatment.
The surgical treatment Is indicated in injury abdominal esofagus.
REFERENCES