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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。

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