Esophageal perforation

Shaun M. Kunisaki, Steven W. Bruch, Arnold G. Coran

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Of all the perforations of the alimentary tract, perforations of the esophagus are considered the most dire and life-threatening. Historically, esophageal perforations in children were treated with highly invasive procedures in similar fashion to those carried out in adults. However, we have learned that esophageal perforations in children are: (i) more often iatrogenic, (ii) more likely to occur within the cervical esophagus, and (iii) not generally associated with an underlying malignant disease process. These important distinctions have allowed for successful non-surgical treatment strategies in the pediatric population. Although there remains a clear role for surgical therapy in selected children with esophageal perforations, the management paradigm has clearly shifted towards less invasive treatment modalities as the first line of therapy in children who are otherwise clinically stable.

Original languageEnglish (US)
Title of host publicationPediatric Thoracic Surgery
PublisherSpringer-Verlag Milan
Pages135-143
Number of pages9
ISBN (Electronic)9788847052024
ISBN (Print)9788847052017
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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