Management of pediatric esophageal perforation.
J Thorac Cardiovasc Surg
; 95(4): 692-5, 1988 Apr.
Article
em En
| MEDLINE
| ID: mdl-3352304
ABSTRACT
Esophageal perforation is a serious complication necessitating immediate therapy. In a retrospective study we have evaluated the results in 13 children treated for esophageal perforation. Eleven of 13 perforations could be managed conservatively. In one child with extrapleural effusion, tube drainage was performed. The only death in this series occurred in a child who was brought for treatment after a 60-hour delay. Thoracotomy and multiple abscess drainage eventually proved unsuccessful. On the basis of our experience with children with esophageal perforation or with complications after esophageal atresia repair, we conclude that management of esophageal perforation in children differs substantially from therapy in adults and necessitates restrictive treatment guided by clinical symptoms.
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Base de dados:
MEDLINE
Assunto principal:
Perfuração Esofágica
Tipo de estudo:
Observational_studies
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Thorac Cardiovasc Surg
Ano de publicação:
1988
Tipo de documento:
Article
País de afiliação:
Holanda