Conservative Approach to the Mediastinitis in Childhood Secondary to Esophageal Perforation
Autor: | İlhami Sürer, Cüneyt Atabek, Salih Çetinkurşun, Haluk Öztürk, Suzi Demirbag, Tuğrul Tiryaki |
---|---|
Rok vydání: | 2005 |
Předmět: |
Male
medicine.medical_specialty Pleural effusion medicine.medical_treatment Perforation (oil well) Suction Chest pain Epigastric pain 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Child Retrospective Studies Gastrostomy Esophageal Perforation Nutritional Support business.industry medicine.disease Mediastinitis Anti-Bacterial Agents Surgery Radiography Treatment Outcome Parenteral nutrition Child Preschool Pediatrics Perinatology and Child Health Vomiting Female medicine.symptom business |
Zdroj: | Clinical Pediatrics. 44:131-134 |
ISSN: | 1938-2707 0009-9228 |
DOI: | 10.1177/000992280504400204 |
Popis: | The aim of this study was to evaluate the safety and efficacy of nonoperative treatment of esophageal perforation (EP) in children. Between 1999 and 2004, 13 episodes in 12 patients were evaluated. The treatment program consisted of broad-spectrum antibiotics, nasopharyngeal aspiration, parenteral and/or enteral nutrition by gastrostomy, and pleural effusion or mediastinal abscess drainage when required. Mean age of the patients was 3.75 ± 1.13 (range 3-7 years). Two patients (16.7%) were girls and 10 patients (83.3%) were boys. Chest pain was found 76.9% of all EP episodes (10 of 13 perforations), followed by dyspnea in 69.2% (9 of 13), vomiting in 46.1% (6 of 13), fever in 46.1% (6 of 13), and epigastric pain in 7.6% (1 of 13). No deaths occurred. In children, in contrast with the adults, EP can be treated safely by nonoperative methods. |
Databáze: | OpenAIRE |
Externí odkaz: |
Pro tento záznam nejsou dostupné žádné jednotky.