Neonatal oesophageal perforation: The role for non‐operative management

Hodgson, Kate; Togo, Andrea; Moore, Aideen M.; Moody, Amanda; King, Sebastian K.; Zani, Augusto

doi:10.1111/jpc.13905

Cited by 4 publications

(10 citation statements)

References 5 publications

(17 reference statements)

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“…6 Hodgson et al reported outcome of eleven neonates with EP and they reported that all neonates were managed with bowel rest and intravenous antibiotics for a median of 7 days; and only two patients required operative intervention. 7 In conclusion, EP is not uncommon in premature infants. Early suspicion and diagnosis of EP is important because appropriate treatment usually ensures a good outcome.…”

Section: Article Historymentioning

confidence: 84%

Accidental Esophageal Perforation in an extremely premature neonate

Mistri¹,

Patel²,

Parikh³

et al. 2021

Pediatric Oncall

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KEywords esophageal perforation, extreme pretermEsophageal perforation (EP) in neonates especially in premature neonates is a rare but potentially fatal complication with mortality rates estimated to be as high as 28%. 1 Various etiological modalities have been reported to have caused EP including gastric tube insertion, endotracheal intubation, oesophageal dilation and respiratory suction catheters. 1 We report a case of an extremely premature newborn that was diagnosed to have an EP.

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Section: Article Historymentioning

confidence: 84%

Accidental Esophageal Perforation in an extremely premature neonate

Mistri¹,

Patel²,

Parikh³

et al. 2021

Pediatric Oncall

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“…Further, they are not useful in detecting the development of mediastinal abscess, which is one of the most serious complications of esophageal perforation. 8 Although nonoperative conservative management has consistently shown satisfactory prognosis in several case series of neonatal esophageal perforation, 3 7 9 10 11 surgical interventions are required when the abscess is formed within the mediastinum. 7 12 13 …”

Section: Discussionmentioning

confidence: 99%

Bedside Ultrasonography in Evaluating Mediastinum Leakage in an Extremely-Low-Birth-Weight Infant with Esophageal Perforation

Haga

Sato

Kakihara

et al. 2022

AJP Rep

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Esophageal perforation in premature infants is a life-threatening condition that requires prompt treatment. Contrast-enhanced computed tomography (CECT) is recommended for diagnosis. However, it is difficult to obtain CECT images in premature infants because of their unstable conditions. We encountered a case of esophageal perforation in an extremely-low-birth-weight female infant. Bedside ultrasonography was useful in the diagnosis and follow-up evaluation of leakage in the mediastinum. Ultrasonography can be a useful modality for the evaluation of perforation of the lower part of the esophagus in premature infants.

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“…Conservative management of oesophageal perforation is treatment of choice after removal of the gastric tube 1. The diagnosis can be confirmed using water-soluble contrast (figure 2A).…”

Section: Answers To the Questions On Pagementioning

confidence: 99%