title: Non operative management of traumatic esophageal perforation leading to esophagocutaneous fistula in pediatric age group: review and case report.
abstract: Management of delayed presenting esophageal perforations has long been a topic of debate. Most authors consider definitive surgery being the management of choice. Management, however, differs in pediatric patients in consideration with better healing of younger tissues. We extensively review the role of aggressive non-operative management in pediatric esophageal perforations, especially with delayed presentation and exemplify with case of a young boy with esophageal perforation and esophago-cutaneous fistula. We also lay down the protocol to manage such patients based on our institutional recommendations.
authors: Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors: Biplab
authors: B
authors: Mishra
authors: All India Institute of Medical Sciences, New Delhi, India.
authors: Saurabh
authors: S
authors: Singhal
authors: University College of Medical Sciences, New Delhi, India.
authors: Divya
authors: D
authors: Aggarwal
authors: All India Institute of Medical Sciences, New Delhi, India.
authors: Nitesh
authors: N
authors: Kumar
authors: Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors: Subodh
authors: S
authors: Kumar
keywords: Conservative; Esophageal perforation; Iatrogenic; Non-operative; Pediatric; Perforation; Protocol; Thoracic; Traumatic