Journal of the Chinese Medical Association
Volume 70, Issue 4 , Pages 171-175, April 2007

Endoscopic Diagnosis and Management of Iatrogenic Cervical Esophageal Perforation in Extremely Premature Infants

  • Wen-Jue Soong

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Wen-Jue Soong, Department of Pediatrics, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.

Department of Pediatrics, Taipei Veterans General Hospital, and Institute of Emergency and Critical Care Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 23 August 2006; accepted 8 February 2007.

Blind oro-(naso)-pharyngeal suction and feeding catheter intubation are very common practices in pediatric critical care. However, these simple procedures may produce unexpected complications in friable tiny patients. We encountered 3 extremely premature infants in whom cervical esophageal perforation and further submucosal excavation were caused by traumatic catheter injury and subsequently led to catastrophes. These episodes of iatrogenic trauma were all successfully diagnosed early, documented and managed with the aid of ultrathin flexible endoscopy.

Key Words:  endoscopy , iatrogenic esophageal perforation

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PII: S1726-4901(09)70352-1

doi:10.1016/S1726-4901(09)70352-1

Journal of the Chinese Medical Association
Volume 70, Issue 4 , Pages 171-175, April 2007

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