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Treatment of persistent esophageal leaks in children with removable, covered stents

Michael D Rollins1, Douglas C Barnhart

  • 1Division of Pediatric Surgery, Primary Children's Medical Center, University of Utah, Salt Lake City, UT 84113, USA. michael.rollins@imail.org

Journal of Pediatric Surgery
|October 23, 2012
PubMed

Insights

Covered esophageal stents offer a successful treatment for children with complicated esophageal perforations that do not respond to standard nonoperative care. This approach provides a viable option for managing persistent leaks and perforations in pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Endoscopy
  • Esophageal Surgery

Background:

  • Esophageal stents are standard for adult esophageal conditions.
  • Their use in pediatric caustic strictures is documented in case reports.
  • Most pediatric esophageal perforations heal with nonoperative management.

Observation:

  • Three pediatric patients presented with complex esophageal perforations.
  • These perforations were refractory to nonoperative treatment.
  • Covered esophageal stents were utilized for management.

Findings:

  • All three patients with complicated esophageal perforations were successfully managed.
  • Covered esophageal stents proved effective in treating refractory cases.
  • This highlights a potential therapeutic avenue for pediatric esophageal leaks.

Implications:

  • Covered esophageal stents represent a valuable minimally invasive option for pediatric esophageal perforations.
  • This technique may reduce the need for more invasive surgical interventions.
  • Further research could explore long-term outcomes and broader applications in pediatric esophageal disease.

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