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Pediatric esophagopleural fistula: Two case reports and a literature review.

Abstract Esophagopleural fistula (EPF) is rarely reported in children with a high misdiagnosis rate. This study aimed to reveal the clinical manifestations and managements of EPF in children.Two pediatric cases of EPF in our hospital were reported. A bibliographic search was performed on the PubMed, WANFANG, and CNKI databases for EPF-related reports published between January 1980 and May 2016. The pathogeny, clinical manifestations, diagnosis, treatments, and prognosis of EPF patients were collected and discussed.Based on conservative treatments, 1 pediatric EPF case induced by cervical trauma was cured by longitudinal septum incision-mediated drainage. The other pediatric EPF induced by endoscopic balloon dilation was cured by dual stent implantation. A total of 38 studies of 197 EPF patients (191 adults and 6 children) were reviewed. Latrogenic factor, esophageal foreign body, and infection are considered the main causes of EPF in children. Unilateral pleural effusion accompanied by food residue was the main manifestations of EPF. Chest computed tomography (CT) and contrast esophagography were usually used in the diagnosis of EPF with high accuracy. Surgical treatment in adults with EPF exhibited a significantly higher cure rate and lower mortality rate than conservative treatment (Pā€Š<ā€Š.01).Pleural effusion with food residue is a specific finding in EPF. Chest CT exhibited high sensitivity for the diagnosis of EPF. Conservative treatment may be preferable for pediatric patients with EPF.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28489746
OWN - NLM
STAT- MEDLINE
DA  - 20170510
DCOM- 20170612
LR  - 20170612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 19
DP  - 2017 May
TI  - Pediatric esophagopleural fistula: Two case reports and a literature review.
PG  - e6695
LID - 10.1097/MD.0000000000006695 [doi]
AB  - Esophagopleural fistula (EPF) is rarely reported in children with a high
      misdiagnosis rate. This study aimed to reveal the clinical manifestations and
      managements of EPF in children.Two pediatric cases of EPF in our hospital were
      reported. A bibliographic search was performed on the PubMed, WANFANG, and CNKI
      databases for EPF-related reports published between January 1980 and May 2016.
      The pathogeny, clinical manifestations, diagnosis, treatments, and prognosis of
      EPF patients were collected and discussed.Based on conservative treatments, 1
      pediatric EPF case induced by cervical trauma was cured by longitudinal septum
      incision-mediated drainage. The other pediatric EPF induced by endoscopic balloon
      dilation was cured by dual stent implantation. A total of 38 studies of 197 EPF
      patients (191 adults and 6 children) were reviewed. Latrogenic factor, esophageal
      foreign body, and infection are considered the main causes of EPF in children.
      Unilateral pleural effusion accompanied by food residue was the main
      manifestations of EPF. Chest computed tomography (CT) and contrast esophagography
      were usually used in the diagnosis of EPF with high accuracy. Surgical treatment 
      in adults with EPF exhibited a significantly higher cure rate and lower mortality
      rate than conservative treatment (P &lt; .01).Pleural effusion with food residue is 
      a specific finding in EPF. Chest CT exhibited high sensitivity for the diagnosis 
      of EPF. Conservative treatment may be preferable for pediatric patients with EPF.
FAU - Cui, Yun
AU  - Cui Y
AD  - Department of Critical Care Medicine, Shanghai Children's Hospital, Shanghai Jiao
      Tong University, Shanghai, China.
FAU - Ren, Yuqian
AU  - Ren Y
FAU - Shan, Yijun
AU  - Shan Y
FAU - Chen, Rongxin
AU  - Chen R
FAU - Wang, Fei
AU  - Wang F
FAU - Zhu, Yan
AU  - Zhu Y
FAU - Zhang, Yucai
AU  - Zhang Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Child, Preschool
MH  - Diagnosis, Differential
MH  - Esophageal Fistula/*diagnosis/etiology/*therapy
MH  - Esophagus/diagnostic imaging
MH  - Humans
MH  - Male
MH  - Pleural Diseases/*diagnosis/etiology/*therapy
PMC - PMC5428580
EDAT- 2017/05/11 06:00
MHDA- 2017/06/13 06:00
CRDT- 2017/05/11 06:00
AID - 10.1097/MD.0000000000006695 [doi]
AID - 00005792-201705120-00013 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 May;96(19):e6695. doi: 10.1097/MD.0000000000006695.

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