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Esophageal perforation in children: etiology and management, with special reference to endoscopic esophageal

Krishna Kumar Govindarajan1

  • 1Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

Korean Journal of Pediatrics
|July 3, 2018
PubMed

Insights

Esophageal perforation in children is rare but serious, especially after endoscopy. Management requires careful evaluation due to varying treatment options and potential complications.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Endoscopy
  • Esophageal Diseases

Background:

  • Esophageal perforation is a rare but severe condition with high morbidity and mortality.
  • The risk of esophageal perforation increases in children undergoing interventional endoscopy.
  • Clinical presentation of esophageal perforation varies based on the perforation site.

Purpose of the Study:

  • To review the clinical features of esophageal perforation in children.
  • To discuss the optimal management strategies for pediatric esophageal perforation.
  • To evaluate the role of conservative management in esophageal perforation secondary to endoscopy.

Main Methods:

  • Literature review of esophageal perforation in pediatric patients.
  • Analysis of clinical presentations and outcomes.
  • Discussion of current treatment protocols and evidence.

Main Results:

  • Interventional endoscopy poses a higher risk for esophageal perforation in children.
  • Clinical manifestations are site-dependent.
  • Optimal treatment remains debated, with conservative management's role not fully established.

Conclusions:

  • Pediatric esophageal perforation necessitates thorough evaluation and tailored management.
  • Endoscopic perforations require careful consideration of treatment options.
  • Further research is needed to establish definitive guidelines for conservative management.

Keywords:
ChildEsophageal perforationEsophagoscopyForeign bodies

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