WOFAPS 2025 8th World Congress of Pediatric Surgery

Ouedraogo Somkieta Francis M., Banazaro Florent M., Tapsoba Wendlamita Toussaint, Thiombiano Koundia, Ki Kelan Bertille, ki kabre Yvette, Ouedraogo Isso

Pediatric Teaching Hospital Charles de Gaulle, Ouagadougou

Iatrogenic Oesophageal Perforation in children is a rare and severe event. The authors report their experience in the management of this pathology in a country with limited resources.

They recorded and studied all Iatrogenic Oesophageal Perforations (IOP) cases treated over a 12-years period.

A total of 8 cases were collected, representing a frequency of 0.6 case per year. The patients’mean age was 3.6 years. The sex rate was 7.

In 4 cases, the IOT occured after an ingestion of caustic products, in two cases it was an ingestion of batteries and in the other two cases an ingestion of coins. The circumstances of perforation were instrumental dilatations and foreign body extractions in 4 cases.

conservative treatment was exclusive in 4 patients consisting in antibiotics, thoracic drainage, digestive rest. Two patients underwent oesophageal exclusion followed by coloesophagolasty, while the other two patients benefited from a coloesophagolasty after medical care for stabilisation .

The outcome was favourable in 3 patients, in one patient the oesophageal replacement was complicated by a stenosis of the cervical oeso-colic junction, and a total of 4 patients died.

mortality remains high in a country with limited resources. Surgical treatment should only be considered once the patient has stabilised.