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Table 4 Non-operative management protocol for pediatric esophageal perforations (at our centre)

From: Non operative management of traumatic esophageal perforation leading to esophagocutaneous fistula in pediatric age group: review and case report

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) +/−