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Results for “ESOPHAGEAL PERFORATION”

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PubMed2004

Latrogenic complications due to the nasogastric and rectal cannula in neonates.

BACKGROUND: An abnormal position of nasogastric and rectal tubes can be the cause of iatrogenic injuries Most often it can happen in neonates and premature infants. MATERIAL/METHODS: From 1982 through 2003, we observed 9 neonates (8 premature infants) with perforation of the alimentary tract. RESULTS: In most of these patients the only radiological sign was displacement of the nasogastric tube. In 5 children the tube was outside the esophagus, in 3 outside the stomach, and in 1 case perforation was caused by the rectal cannula. Neonates with esophageal perforation were treated conservatively with good effects. Surgical treatment was performed in four children with gastric and rectal perforation - two of whom died. CONCLUSIONS: Evaluation of the position of nasogastric tube on the plain chest and abdominal x-ray is a very important diagnostic Consideration. Any deviation from the normal course of the tube should be suggestive of alimentary tract injury, even in the absence of any other signs of perforation.

Catheterization↗
PubMed1988

Traumatic perforations of the esophagus.

Over the past 15 years nine patients with traumatic mechanical perforations of the esophagus have been treated. Seven perforations were iatrogenic, two were accidental. One patient treated conservatively did well. Two patients were operated on without delay. Their hospitalization was short and they had no complications. Six patients were referred to surgery after a delay ranging from 5 days to 17 days from the time of perforation. Their hospitalization ranged from 9 to 113 days, averaging 62.7 days. Complications were common and two patients died. In order to assure survival of patients with esophageal perforation, early aggressive treatment is essential in nearly all instances. In an occasional patient with a small and clean perforation at the esophageal inlet, conservative treatment may be justified.

Adolescent↗