Esophagus: Perforation
Quiz
Which type of esophageal perforation is more common in children: traumatic or spontaneous?
- Traumatic
- Spontaneous
- Equivalent
What is the most common sign of esophageal rupture in infants and children?
- Fever
- Pain with swallowing
- Respiratory distress
- Excessive drooling and salivation
Where is most common site of esophageal perforation in infants and children?
- Left chest
- Right chest
- GE junction
- Left neck
What is the diagnostic study for esophageal perforation?
- Rigid esophagoscopy
- Flexible esophagoscopy
- Barium swallow
- Water-soluble contrast esophagram
What is the treatment of endotracheal and nasogastric tube perforation of the esophagus and newborn?
- Cervical esophagostomy
- Primary repair if noted in 1st 24 hrs
- NPO and antibiotics
- Tube drainage and antibiotics
Evidence of mediastinitis mandates immediate thoracotomy for esophageal perforation. Which side is used for the thoracotomy for mid esophagus?
- Right 5th intercotal space
- Left 4th intercostal space
- Right 7th intercotal space
- Left 7th intercotal space
What is the surgical management of traumatic esophageal perforation?
- Cervical esophagostomy
- Primary repair if noted in 1st 24 hrs
- NPO and antibiotics
- Tube drainage and antibiotics