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Esophageal perforation in a neonate associated with gastroesophageal reflux
Journal of Pediatric Surgery
|April 1, 1984
Insights
Gastroesophageal reflux (GER) may cause esophageal perforation in newborns. This case report details successful treatment using thoracic drainage and fundoplication for both conditions.
Area of Science:
- Neonatal care
- Gastroenterology
- Pediatric surgery
Background:
- Esophageal perforation is a rare but serious condition in neonates.
- Gastroesophageal reflux (GER) is common in infants but rarely associated with esophageal perforation.
Observation:
- This report details the first neonate diagnosed with esophageal perforation and concurrent gastroesophageal reflux (GER).
- Diagnostic methods included esophagraphy and esophageal pH monitoring to confirm GER.
Findings:
- The neonate presented with esophageal perforation.
- Gastroesophageal reflux (GER) was identified as a likely contributing factor.
- Successful treatment involved thoracic drainage for perforation and fundoplication for GER.
Implications:
- This case highlights the potential link between GER and esophageal perforation in neonates.
- It suggests that managing GER may be crucial in preventing or treating esophageal perforation in this population.
- This finding could influence diagnostic and treatment protocols for neonatal esophageal emergencies.
Abstract:
This is the first report of a neonate with esophageal perforation in whom an association of gastroesophageal reflux (GER) was detected by esophagraphy and esophageal pH monitoring. The patient was successfully treated for both esophageal perforation of GER by thoracic drainage and fundoplication. In this patient, GER seemed a likely cause of esophageal perforation.