Abstract | BACKGROUND: METHODS: We performed a retrospective chart review of all patients with an ICD-9 diagnosis of esophageal perforation from January 1995 to July 2009. Patients with postoperative anastomotic leaks with drains in place were excluded, although patients with anastomotic leaks that were not controlled by drains were included. Data collected included patient demographics, etiology, diagnosis, treatment, complications, and outcome. RESULTS: Eight patients were identified who met inclusion criteria. Mean age was 28 mo (1 d-10 y), and the average time from causative event to diagnosis was 1.4 d (0-2 d). The etiology for esophageal perforation included esophagoscopy with dilation (n = 4), button battery ingestion (n = 1), coin ingestion (n = 1), nasogastric tube placement (n = 1), and leak after stricture resection (n = 1). All the patients were treated conservatively without primary surgery or thoracic drainage, and the mean time to perforation healing was 10.2 d (1-24 d). The average length of antibiotic therapy was 10 d (0-26 d). Enteral nutrition was utilized in five patients, and total parenteral nutrition (TPN) was utilized in five patients. No patient developed a new-onset esophageal stricture. CONCLUSION:
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Authors | Carissa L Garey, Carrie A Laituri, Adam J Kaye, Daniel J Ostlie, Charles L Snyder, George W Holcomb 3rd, Shawn D St Peter |
Journal | The Journal of surgical research
(J Surg Res)
Vol. 164
Issue 1
Pg. 13-7
(Nov 2010)
ISSN: 1095-8673 [Electronic] United States |
PMID | 20850782
(Publication Type: Journal Article)
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Copyright | Copyright © 2010 Elsevier Inc. All rights reserved. |
Chemical References |
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Topics |
- Anti-Bacterial Agents
(therapeutic use)
- Child
- Child, Preschool
- Decompression, Surgical
- Drainage
- Enteral Nutrition
- Esophageal Perforation
(diet therapy, drug therapy, surgery)
- Esophageal Stenosis
(diet therapy, drug therapy, surgery)
- Humans
- Iatrogenic Disease
- Infant
- Infant, Newborn
- Intubation, Gastrointestinal
- Nutritional Support
- Retrospective Studies
- Treatment Outcome
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