Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Review

Volume 6, Number 2, June 2016, pages 41-45


Surgical Versus Non-Surgical Treatment for Traumatic Esophageal Perforation in Children: A Systematic Review

Figures

Figure 1.
Figure 1. Flow diagram showing identification of studies included in the review.
Figure 2.
Figure 2. Algorithm of the management of the traumatic esophageal perforation in children.

Table

Table 1. Characteristics of Included Studies
 
StudyYearType of studyQualityNumber of patientsMean ageProcedureOutcome
Engum et al [5]1996RetrospectiveVery low244.829% medical treatment; 67% drainage, primary closure, resection and diversion4% mortality
Wen-Jue [3]2007RetrospectiveVery low3NAUltrathin flexible endoscopyGood
Garey et al [17]2010RetrospectiveVery low82.4Conservative managementGood
Tettey et al [13]2011RetrospectiveVery low16NA31.2% thoracotomy and intrathoracic primary repair; 68.8% cervical esophagostomy, feeding gastrostomy6.2% mortality
Rollins and Barnhart [18]2012RetrospectiveVery low3NAEsophageal stentsGood
Vieira et al [14]2013RetrospectiveVery low9NA78% medical treatment; 22% colonic esophagoplastyGood
Derderian et al [16]2014RetrospectiveVery low4NAConservative managementGood
Fuentes et al [4]2014RetrospectiveVery low3NARigid endoscopyGood
Peter et al [15]2015RetrospectiveVery low72.443% rigid endoscopy; 57% repair with pleural patch reinforcementGood