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