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| Year : 2001 | Volume
: 6
| Issue : 2 | Page : 14-20 |
Esophageal perforation in infancy and childhood : our experience
YK Sarin, A Sinha
Department of Pediatric Surgery Maulana Azad Medical College, New Delhi-110002
Correspondence Address:
YK Sarin
Department of Pediatric Surgery Maulana Azad Medical College, New Delhi-110002
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Controversy exists regarding operative versus non-operative treatment, as well as in the selection of operative procedure for esophageal perforation. We reviewed 11 cases of esophageal perforations treated in the last 2 years. Iatrogenic injury was the most common cause of esophageal perforation in our series (55 percent). There was a distressingly high incidence of perforation following dilatations for 'early tight' strictures resulting from primary repair for esophageal atresia; 67 percent of all such patients. None of the patients underwent aggressive and early surgery for closure of the perforation. We had 4 deaths with a mortality rate of 36 percent. The average hospital stay in the survivors was 80 days. We believe that a shift to an early aggressive surgical approach is a more desirable option. Another conclusion drawn from this review is to avoid dilatations in early tight strictures of repaired esophageal atresias.
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