SavedAdd your journal

Journals / Çocuk Dergisi / 2026 / Cilt: 25 Sayı: 1

Iatrogenic Esophageal Perforation in Extremely Preterm Infants: A Report of Three Cases

Ayşe Melike Adak(MERSIN UNİVERSİTY, DEPARTMENT OF CHILD DEVELOPMENT, DIVISION OF NEONATOLOGY)0000-0003-3868-6995
Fatma Durak(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES)0000-0002-2247-6128
Mehmet Baki Kara(MERSIN AKADEMI HOSPITAL, NEONATAL INTENSIVE CARE UNIT)0000-0002-3628-7459
Caner İsbir(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF PEDIATRIC SURGERY)0000-0003-0887-9817
Ayşen Orman(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, NEONATOLOGY)0000-0003-1783-0185
Yalçın Çelik(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, NEONATOLOGY)0000-0002-1357-0585
Pages
55–59
Publication Date
2025-07-08
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article, three cases of esophageal perforation that developed during the insertion of an orogastric (O/G) tube are presented.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Iatrogenic esophageal perforation in neonates is a rare but serious complication that can occur during medical interventions.
📊
Key Findings & Data:Early diagnosis and intervention are of vital importance.
💡
Conclusion & Impact:In this article, three cases of esophageal perforation that developed during the insertion of an orogastric (O/G) tube are presented.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Esophagus · neonate · perforation

Abstract

Iatrogenic esophageal perforation in neonates is a rare but serious complication that can occur during medical interventions. Early diagnosis and intervention are of vital importance. In recent years, surgical treatment has been replaced by conservative approaches. In this article, three cases of esophageal perforation that developed during the insertion of an orogastric (O/G) tube are presented.

Özet

Iatrogenic esophageal perforation in neonates is a rare but serious complication that can occur during medical interventions. Early diagnosis and intervention are of vital importance. In recent years, surgical treatment has been replaced by conservative approaches. In this article, three cases of esophageal perforation that developed during the insertion of an orogastric (O/G) tube are presented.

🔖

Cite This Article

Adak, A. M., Durak, F., Kara, M. B., İsbir, C., Orman, A., Çelik, Y. (2025). Iatrogenic Esophageal Perforation in Extremely Preterm Infants: A Report of Three Cases. Çocuk Dergisi, Cilt: 25 Sayı: 1, 55–59. https://doi.org/10.26650/jchild.2025.1573234

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (20)

  1. Rentea RM, St. Peter SD. Neonatal and pediatric esophageal perforation. Semin Pediatr Surg. 2017;26(2):87-94. doi:10.1053/j.sempedsurg.2017.02.005 google scholar
  2. Dökümcü ÜZ, Özcan, Özofagus perforasyonu-mediastinit. Çocuklarda Cerrahi Göğüs Hastalıkları. 2020;1:209-214 google scholar
  3. Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC. Evolving options in the management of esophageal perforation. Annals of Thoracic Surgery. 2004;77(4):1475-1483. doi:10.1016/j.athoracsur.2003.08.037 google scholar
  4. Onwuka EA, Saadai P, Boomer LA, Nwomeh BC. Nonoperative management of esophageal perforations in the newborn. Journal of Surgical Research. 2016;205(1):102-107. doi:10.1016/j.jss.2016.06.027 google scholar
  5. Hesketh AJ, Behr CA, Soffer SZ, Hong AR, Glick RD. Neonatal esophageal perforation: Nonoperative management. Journal of Surgical Research. 2015;198(1):1-6. doi:10.1016/j.jss.2015.05.018 google scholar
  6. Yong SB, Ma JS, Chen FS, Chung MY, Yang KD. Nasogastric Tube Placement and Esophageal Perforation in Extremely Low Birth Weight Infants. Pediatr Neonatol. 2016;57(5):427-430. doi:10.1016/j.pedneo.2013.10.011 google scholar
  7. Mileder LP, Müller M, Reiterer F et al. Esophageal Perforation with Unilateral Fluidothorax Caused by Nasogastric Tube. Case Rep Pediatr. 2016;2016:1-2. doi:10.1155/2016/4103734 google scholar
  8. Sepesi B, Raymond DP, Peters JH. Esophageal perforation: Surgical, endoscopic and medical management strategies. Curr Opin Gastroenterol. 2010;26(4):379-383. doi:10.1097/MOG.0b013e32833ae2d7 google scholar
  9. Sorensen E, Yu C, Chuang SL, et al. Iatrogenic Neonatal Esophageal Perforation: A European Multicentre Review on Management and Outcomes. Children. 2023;10(217):1-9. doi:10.3390/children10020217 google scholar
  10. Filippi L, Pezzati M, Poggi C. Use of polyvinyl feeding tubes and iatrogenic pharyngo-esophageal perforation in very-low-birthweight infants. google scholar
  11. Shah PS, Dunn MS, Shah VS. Esophageal Perforation in Preterm Neonates: Not an Innocent Bystander. 2003;39:697-699. google scholar
  12. Gaber Elsayed M. Iatrogenic Esophageal Perforation in a Preterm Neonate Managed Conservatively. Academic Journal of Pediatrics & Neonatology. 2023;13(2):1-4 doi:10.19080/ajpn.2023.13.555911 google scholar
  13. Brankov O, Shivachev H, Antonova D, Pahnev Y. Iatrogenic pharyngoesophageal perforation in the neonatal period-clues for conservative treatment. International Journal of Surgery and Medicine. 2017;3(2):107-110. doi:10.5455/ ijsm. google scholar
  14. Thanhaeuser M, Lindtner-Kreindler C, Berger A, Haiden N. Conservative treatment of iatrogenic perforations caused by gastric tubes in extremely low birth weight infants. Early Hum Dev. 2019;137:1-5. doi:10.1016/ j.earlhumdev.2019.104836 google scholar
  15. Hanafy EEDM, Ashebu SD, Naqeeb N Al, Nanda HB. Pericardial sac perforation: A rare complication of neonatal nasogastric tube feeding. Pediatr Radiol. 2006;36(10):1096-1098. doi:10.1007/s00247-006-0258-3 google scholar
  16. Fogle RS; SWL; GEL. Perforation of the feeding tube into the right renal pelvis. The Journal of Pediatrics. 1978:122-124. google scholar
  17. Mattar MS, Al-Alfy AA, Dahniya MH, Al-Marzouk MH. Urinary bladder perforation:an unusual complication of neonatal nasogastric tube feeding. Pediatr Radiol. 1997;27:858-859. google scholar
  18. Elgendy MM, Othman H, Aly H. Esophageal perforation in very low birth weight infants. doi:10.1007/s00431-020-03894-z/Published google scholar
  19. Panieri E, Millar AJW, Rode H, Brown RA, Cywes S. Iatrogenic Esophageal Perforation in Children: Patterns of Injury, Presentation, Management, and Outcome. Journal of Pediatric Surgery. 1996;31(7):890-895. google scholar
  20. Kato Y, Hirata K, Oshima Y, Wada K, Dowling D, Schierholz E. Weight-based estimation of insertion length of the nasogastric tube in extremely low birth-weight infants. Advances in Neonatal Care. 2020;20(2):31-34. doi:10.1097/ ANC.0000000000000692 google scholar