The late esophageal perforation can be treated with esophageal stent and PEG-J in Children


Cevık M.

The 6th World Congress of the World Federation of Associations of Pediatric Surgery (WOFAPS 2019), Ad-Dawhah, Qatar, 1 - 03 November 2019, pp.93

  • Publication Type: Conference Paper / Summary Text
  • City: Ad-Dawhah
  • Country: Qatar
  • Page Numbers: pp.93

Abstract

Abstract

Background: More than half of all esophageal perforations are iatrogenic. The initial managment of an esophageal perforation include prompt diagnosis and assessment for operative or nonoperative managment. In this study summarizes our experiences treating two perforation of the esophagus using a removable esophageal stent.

Case 1. A 6-year – old patient  with a history of endoscopic foreign body removed 10 days ago before admitted. When she was getting worse condition she refered to us. We find esophageal perforation we esophageal stent and PEG-J placed. We removed esophageal stent 6 weeks later without any esophageal leakage.

Case 2. A 10 -year old pateint was operated for achalasia postoperative a week later admitted clinic for acute abdomen. The patient underwent surgery acute abdomen and repaired for  esophagogastric junction perforation.The condition of the patient was getting worse and patient underwent endoscopy for esophageal stent and PEG-J. The stent removed 2 months later without any lekage.

Conclusion: Endoluminal esophageal stent and percutan endoscopic jejunal tup is an effective method for the treatment iatrogenic perforations of the esophagus. These approach may reduce hospital length of stay and avoid the potential morbidity and motality.