Iatrogenic Esophageal Perforation in Two Neonates
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- Shigenaga Hiroko
- Department of Surgery, Nagoya-city Higashi General Hospital
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- Katayama Yoshihiko
- Department of Surgery, Nagoya-city Higashi General Hospital
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- Hayashi Masanobu
- Department of Surgery, Nagoya-city Higashi General Hospital
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- Tanaka Hironori
- Department of Surgery, Nagoya-city Higashi General Hospital
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- Kishikawa Hirotaka
- Department of Surgery, Nagoya-city Higashi General Hospital
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- Honda Kyuzi
- Department of Surgery, Nagoya-city Higashi General Hospital
Bibliographic Information
- Other Title
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- 新生児医原性食道穿孔の2例
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Abstract
Iatrogenic esophageal perforation has been increasingly recognized as a complication of modern neonatal resuscitation occurring most frequentry in the premature infants. It usually results from endotracheal intubation, vigorous oropharyngeal suctioning or the passage of a nasogastric tube. The clinical and roentgenographic findings in this condition can mimic esophageal atresia or esophageal duplication. Two cases which were misdiagnosed as esophageal duplication are reported. Case 1 is an infant with submucosal penetration of the esophagus because of vigorous oropharyngeal suctioning after birth. An esophagogram demonstrated a classic "double esophagus" that showed a long narrow tract parallel and posterior to the esophageal column. She was mistakenly operated on with a diagnosis of esophageal duplication. Case 2 is a premature baby weighing 960g at 26 weeks gestation. She required endotracheal intubation, causing esophageal perforation into the retromediastinum. An esophagogram showed a blind pouch that ended at the level of the diaphragm. Both cases were treated successfully with conservative management. In general, esophageal perforation in neonates can be managed medically with removal of a nasogastric tube, administration of antibiotics, peripheral intravenous nutrition or feeding through a nasogastric tube when possible. Closed chest dranage may be necessary in some cases. This iatrogenic disorder should be prevented with caution.
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 26 (4), 828-832, 1990
The Japanese Society of Pediatric Surgeons
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Details 詳細情報について
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- CRID
- 1390001204813011712
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- NII Article ID
- 110002083327
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- ISSN
- 21874247
- 0288609X
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed