Table 4 Non-operative management protocol for pediatric esophageal perforations (at our centre)
Intervention | Significance | |
|---|---|---|
1) | Nil per oral (minimum of 7–10 days) | +++ |
2) | Adequate enteral/parenteral hyperalimentation | +++ |
3) | Aggressive broad spectrum antibiotic therapy (minimum 7 days) | +++ |
4) | Early limited surgical interventions (gastrostomy/jejunostomy) | + |
5) | Chest drainage with wide bore intercostal drain | ++ |
6) | Nasogastric suction/drainage | +/− |
7) | Intravenous proton pump inhibitors (minimum 7 days) | +/− |