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Pediatric esophageal perforation.

R L Shepherd, J G Raffensperger, R Goldstein

    The Journal of Thoracic and Cardiovascular Surgery
    |August 1, 1977
    PubMed
    Summary
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    Pediatric esophageal perforation, though distinct from adult cases, shares similar management strategies. This study highlights successful outcomes in children, emphasizing prompt medical attention and individualized treatment approaches for esophageal injuries.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Thoracic Surgery

    Background:

    • Esophageal perforation in children presents unique challenges compared to adults.
    • Effective management is crucial for favorable outcomes in pediatric patients.

    Observation:

    • A review of 12 pediatric patients (2 days to 10 years) treated for 13 esophageal perforations over 11 years.
    • Injuries stemmed from instrumentation (10 cases) or foreign body erosion (3 cases).
    • Acute perforations were linked to lye ingestion (5 cases) and anastomotic narrowing (3 cases).

    Findings:

    • All pediatric patients in the series survived, contrasting with higher adult mortality rates.
    • Thoracic esophageal perforations (7 cases) were associated with significant morbidity.

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  • Management involved both operative and nonoperative strategies.

    • Implications:

    • Clinical variables such as perforation location, cause, and promptness of care are vital for successful pediatric esophageal perforation management.
    • This study underscores the importance of tailored treatment for pediatric esophageal injuries.