儿童食管穿孔：病因与治疗，特别提及内镜下食管穿孔
Esophageal perforation in children: etiology and management, with special reference to endoscopic esophageal perforation.
作者信息
Govindarajan Krishna Kumar
机构信息
Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.
出版信息
Korean J Pediatr. 2018 Jun;61(6):175-179. doi: 10.3345/kjp.2018.61.6.175. Epub 2018 Jun 25.
Abstract
Perforation of the esophagus is an uncommon problem with significant morbidity and mortality. In children undergoing endoscopy, the risk of perforation is higher when interventional endoscopy is performed. The clinical features depend upon the site of esophageal perforation. Opinions vary regarding the optimal treatment protocol, and the role of conservative management in this context is not well established. Esophageal perforation that occurs as a consequence of endoscopy in children requires careful evaluation and management, as outlined in this article.
摘要
食管穿孔是一个不常见的问题，具有较高的发病率和死亡率。在接受内镜检查的儿童中，进行介入性内镜检查时穿孔风险更高。临床特征取决于食管穿孔的部位。关于最佳治疗方案，意见不一，在这种情况下保守治疗的作用尚不明确。本文概述了儿童内镜检查导致的食管穿孔需要仔细评估和处理。
相似文献
1
Esophageal perforation in children: etiology and management, with special reference to endoscopic esophageal perforation.
Korean J Pediatr. 2018 Jun;61(6):175-179. doi: 10.3345/kjp.2018.61.6.175. Epub 2018 Jun 25.
2
Mediastinitis associated with foreign body erosion of the esophagus in children.
Int J Pediatr Otorhinolaryngol. 2001 Jun 7;59(2):89-97. doi: 10.1016/s0165-5876(01)00454-2.
3
Successful endoscopic band ligation of esophageal perforation by fish bone ingestion.
J Laparoendosc Adv Surg Tech A. 2013 May;23(5):459-62. doi: 10.1089/lap.2013.0082. Epub 2013 Apr 6.
4
[Foreign body perforation of the thoracic esophagus].
J Chir (Paris). 2009 Feb;146(1):40-7. doi: 10.1016/j.jchir.2009.02.008. Epub 2009 Apr 11.
5
[Esophageal foreign bodies in children and adults: 20 years experience].
Ulus Travma Acil Cerrahi Derg. 2013 May;19(3):229-34. doi: 10.5505/tjtes.2013.22687.
6
Selective management of pediatric esophageal foreign bodies.
Am Surg. 1995 Feb;61(2):132-4.
7
Esophageal perforations due to foreign body impaction in children.
J Pediatr Surg. 2015 Aug;50(8):1260-3. doi: 10.1016/j.jpedsurg.2015.01.015. Epub 2015 Feb 7.
8
Endoscopic management of impacted esophageal foreign bodies.
Dis Esophagus. 2013 Nov-Dec;26(8):799-806. doi: 10.1111/j.1442-2050.2012.01401.x. Epub 2012 Sep 13.
9
AGA Clinical Practice Update on Endoscopic Treatment of Barrett's Esophagus With Dysplasia and/or Early Cancer: Expert Review.
Gastroenterology. 2020 Feb;158(3):760-769. doi: 10.1053/j.gastro.2019.09.051. Epub 2019 Nov 12.
10
[Esophageal Foreign Body: Treatment and Complications].
Korean J Gastroenterol. 2018 Jul 25;72(1):1-5. doi: 10.4166/kjg.2018.72.1.1.
引用本文的文献
1
Esophageal Perforation Resulting From Nonaccidental Trauma in a Neonate: A Case Report.
Cureus. 2024 Nov 30;16(11):e74819. doi: 10.7759/cureus.74819. eCollection 2024 Nov.
2
Pulling instead of pushing: A case report of gastrostomy-assisted pull technique as an alternative method for endoluminal sponge placement in EVAC therapy.
JPGN Rep. 2024 Jan 18;5(1):74-78. doi: 10.1002/jpr3.12040. eCollection 2024 Feb.
3
Esophageal Perforation into the Pericardium in a 3-Year-Old Child with Esophageal Stricture: A Rare Complication Following Esophageal Dilatation.
European J Pediatr Surg Rep. 2022 Sep 2;10(1):e131-e134. doi: 10.1055/s-0042-1756207. eCollection 2022 Jan.
4
Spontaneous Esophageal Perforation in an Infant: A Rare Case.
Indian J Otolaryngol Head Neck Surg. 2021 Dec;73(4):514-518. doi: 10.1007/s12070-020-01993-9. Epub 2020 Jul 25.
本文引用的文献
1
Developing the Pediatric Gastrointestinal Endoscopy Unit: A Clinical Report by the Endoscopy and Procedures Committee.
J Pediatr Gastroenterol Nutr. 2016 Aug;63(2):295-306. doi: 10.1097/MPG.0000000000001189.
2
Endoscopic management of gastrointestinal perforations, leaks and fistulas.
World J Gastroenterol. 2015 Oct 7;21(37):10542-52. doi: 10.3748/wjg.v21.i37.10542.
3
Non operative management of traumatic esophageal perforation leading to esophagocutaneous fistula in pediatric age group: review and case report.
World J Emerg Surg. 2015 Apr 2;10:19. doi: 10.1186/s13017-015-0012-y. eCollection 2015.
4
Esophageal perforations due to foreign body impaction in children.
J Pediatr Surg. 2015 Aug;50(8):1260-3. doi: 10.1016/j.jpedsurg.2015.01.015. Epub 2015 Feb 7.
5
Endoscopic Management of Gastrointestinal Leaks and Fistulae.
Clin Gastroenterol Hepatol. 2015 Oct;13(10):1714-21. doi: 10.1016/j.cgh.2015.02.010. Epub 2015 Feb 16.
6
Tissue sealants in endoscopic applications for anastomotic leakage during a 25-year period.
Surgery. 2015 Jan;157(1):79-86. doi: 10.1016/j.surg.2014.06.002. Epub 2014 Oct 14.
7
Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement.
Endoscopy. 2014 Aug;46(8):693-711. doi: 10.1055/s-0034-1377531. Epub 2014 Jul 21.
8
[Esophageal perforation in children: a review of one pediatric surgery institution's experience (16 years)].
Acta Med Port. 2013 Mar-Apr;26(2):102-6. Epub 2013 May 31.
9
Endoscopic therapy for postoperative leaks and fistulae.
Gastrointest Endosc Clin N Am. 2013 Jan;23(1):123-36. doi: 10.1016/j.giec.2012.10.002. Epub 2012 Oct 23.
10
Endoscopic management of impacted esophageal foreign bodies.
Dis Esophagus. 2013 Nov-Dec;26(8):799-806. doi: 10.1111/j.1442-2050.2012.01401.x. Epub 2012 Sep 13.
Zotero 插件