Publication
Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years)
| Summary: | Introduction: The objective of the study was to evaluate the experience of our service in the treatment of esophageal perforations. Materials and Methods: Retrospective chart review of the nine cases occurred between January 1, 1996 and December 31, 2011. Seven occurred after accidental ingestion of foreign bodies and in two patients were iatrogenic lesions after esophagoscopy with dilation: a peptic stricture in one case and in the other stenosis of the esophageal anastomosis in a child operated for esophageal atresia. Results: In 78% of cases the initial approach was medical, with healing of the perforation confirmed on average after 20 days, 22% of patients (2 cases) underwent surgery without success, one of them healed without sequelae having nothing by mouth and medical therapy, in the other case there was a need for further colon esophagoplasty. There was no mortality. Discussion: Esophageal perforation is one of the most serious injuries of the alimentary tract, continues to be devastating, and difficult to diagnosis and treatment. The recognition of this complication is critical for a successful treatment. Conclusions: The delay of the diagnosis is associated with a mortality which can oscillate between 20 and 40%. |
|---|---|
| Main Authors: | Vieira, Elizabete |
| Other Authors: | Cabral, Maria João; Gonçalves, Mroslava |
| Year: | 2013 |
| Country: | Portugal |
| Document type: | article |
| Associated institution: | Ordem dos Médicos |
| Language: | Portuguese English |
| Origin: | Acta Médica Portuguesa |
| _version_ | 1867502968769609728 |
|---|---|
| author | Vieira, Elizabete |
| author2 | Cabral, Maria João Gonçalves, Mroslava |
| author2_role | author author |
| author_facet | Vieira, Elizabete Cabral, Maria João Gonçalves, Mroslava |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Vieira, Elizabete\"},{\"Person.name\":\"Cabral, Maria João\"},{\"Person.name\":\"Gonçalves, Mroslava\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Vieira, Elizabete Cabral, Maria João Gonçalves, Mroslava |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.titles.title.fl_str_mv | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) Perfuração Esofágica na Criança: Casuística de um Serviço de Cirurgia Pediátrica (16 Anos) |
| dc.creator.none.fl_str_mv | Vieira, Elizabete Cabral, Maria João Gonçalves, Mroslava |
| dc.description.none.fl_str_mv | Introdução: O estudo teve por objetivo avaliar a experiência do nosso Serviço no tratamento das perfurações esofágicas. Material e Métodos: Análise retrospetiva de nove casos ocorridos entre 1 de Janeiro de 1996 e 31 de Dezembro de 2011. Destes casos, sete ocorreram após ingestão acidental de corpos estranhos e em dois tratou-se de lesões iatrogénicas após dilatação esofágica: por estenose péptica num caso e no outro por estenose da anastomose esofágica término-terminal de uma criança operada por atrésia do esófago. Resultados: Em 78% dos casos a abordagem inicial foi médica, com encerramento comprovado da perfuração em média ao fim de 20 dias; 22% dos doentes (dois casos) foram submetidos a cirurgia sem sucesso, acabando um deles por curar sem sequelas com pausa alimentar e terapêutica médica; no outro caso verificou-se necessidade de realizar posteriormente uma esofagocoloplastia. Na nossa série não se registou mortalidade. Discussão: A perfuração esofágica é uma das lesões mais graves do trato alimentar, continuando a ser devastadora, e, de difícil diagnóstico e tratamento. O reconhecimento desta complicação é fundamental para o seu tratamento com sucesso. Conclusões: O atraso do diagnóstico está associado a uma mortalidade que pode oscilar entre os 20 e 40%. |
| dc.format.none.fl_str_mv | application/pdf application/pdf |
| dc.identifier.none.fl_str_mv | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101 |
| dc.language.none.fl_str_mv | por eng |
| dc.publisher.none.fl_str_mv | Ordem dos Médicos |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Acta Médica Portuguesa; Vol. 26 No. 2 (2013): March-April; 102-106 Acta Médica Portuguesa; Vol. 26 N.º 2 (2013): Março-Abril; 102-106 1646-0758 0870-399X |
| dc.title.fl_str_mv | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) Perfuração Esofágica na Criança: Casuística de um Serviço de Cirurgia Pediátrica (16 Anos) |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Introduction: The objective of the study was to evaluate the experience of our service in the treatment of esophageal perforations. Materials and Methods: Retrospective chart review of the nine cases occurred between January 1, 1996 and December 31, 2011. Seven occurred after accidental ingestion of foreign bodies and in two patients were iatrogenic lesions after esophagoscopy with dilation: a peptic stricture in one case and in the other stenosis of the esophageal anastomosis in a child operated for esophageal atresia. Results: In 78% of cases the initial approach was medical, with healing of the perforation confirmed on average after 20 days, 22% of patients (2 cases) underwent surgery without success, one of them healed without sequelae having nothing by mouth and medical therapy, in the other case there was a need for further colon esophagoplasty. There was no mortality. Discussion: Esophageal perforation is one of the most serious injuries of the alimentary tract, continues to be devastating, and difficult to diagnosis and treatment. The recognition of this complication is critical for a successful treatment. Conclusions: The delay of the diagnosis is associated with a mortality which can oscillate between 20 and 40%. |
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| identifier.url.fl_str_mv | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101 |
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| person_str_mv | Vieira, Elizabete Cabral, Maria João Gonçalves, Mroslava |
| publishDate | 2013 |
| publisher.none.fl_str_mv | Ordem dos Médicos |
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| spelling | en-USEsophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years)pt-PTPerfuração Esofágica na Criança: Casuística de um Serviço de Cirurgia Pediátrica (16 Anos)Vieira, ElizabeteCabral, Maria JoãoGonçalves, Mroslavahttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101URLhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101URLHasVersionhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101/3233URLHasVersionhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101/4131URLHasVersion2013-05-31http://purl.org/coar/access_right/c_abf2en-USIntroduction: The objective of the study was to evaluate the experience of our service in the treatment of esophageal perforations. Materials and Methods: Retrospective chart review of the nine cases occurred between January 1, 1996 and December 31, 2011. Seven occurred after accidental ingestion of foreign bodies and in two patients were iatrogenic lesions after esophagoscopy with dilation: a peptic stricture in one case and in the other stenosis of the esophageal anastomosis in a child operated for esophageal atresia. Results: In 78% of cases the initial approach was medical, with healing of the perforation confirmed on average after 20 days, 22% of patients (2 cases) underwent surgery without success, one of them healed without sequelae having nothing by mouth and medical therapy, in the other case there was a need for further colon esophagoplasty. There was no mortality. Discussion: Esophageal perforation is one of the most serious injuries of the alimentary tract, continues to be devastating, and difficult to diagnosis and treatment. The recognition of this complication is critical for a successful treatment. Conclusions: The delay of the diagnosis is associated with a mortality which can oscillate between 20 and 40%.pt-PTIntrodução: O estudo teve por objetivo avaliar a experiência do nosso Serviço no tratamento das perfurações esofágicas. Material e Métodos: Análise retrospetiva de nove casos ocorridos entre 1 de Janeiro de 1996 e 31 de Dezembro de 2011. Destes casos, sete ocorreram após ingestão acidental de corpos estranhos e em dois tratou-se de lesões iatrogénicas após dilatação esofágica: por estenose péptica num caso e no outro por estenose da anastomose esofágica término-terminal de uma criança operada por atrésia do esófago. Resultados: Em 78% dos casos a abordagem inicial foi médica, com encerramento comprovado da perfuração em média ao fim de 20 dias; 22% dos doentes (dois casos) foram submetidos a cirurgia sem sucesso, acabando um deles por curar sem sequelas com pausa alimentar e terapêutica médica; no outro caso verificou-se necessidade de realizar posteriormente uma esofagocoloplastia. Na nossa série não se registou mortalidade. Discussão: A perfuração esofágica é uma das lesões mais graves do trato alimentar, continuando a ser devastadora, e, de difícil diagnóstico e tratamento. O reconhecimento desta complicação é fundamental para o seu tratamento com sucesso. Conclusões: O atraso do diagnóstico está associado a uma mortalidade que pode oscilar entre os 20 e 40%.Ordem dos Médicosapplication/pdfapplication/pdfen-USActa Médica Portuguesa; Vol. 26 No. 2 (2013): March-April; 102-106pt-PTActa Médica Portuguesa; Vol. 26 N.º 2 (2013): Março-Abril; 102-1061646-07580870-399Xporengjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) Vieira, Elizabete |
| status | SINGLETON |
| status_str | VoR |
| title | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) |
| title_full | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) |
| title_fullStr | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) |
| title_full_unstemmed | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) |
| title_short | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) |
| title_sort | Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution’s Experience (16 Years) |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4101 |
| visible | 1 |