TY - JOUR
T1 - Complete gastroesophageal junction avulsion after near drowning
T2 - A case report and review of literature
AU - Ayub, Adil
AU - Naeem, Buria
AU - Ahn, Mollie
AU - Bowen-Jallow, Kanika
AU - Tran, Sifrance
N1 - Publisher Copyright:
© 2020 The Author(s)
PY - 2020
Y1 - 2020
N2 - Introduction: Gastroesophageal (GE) junction injuries are rare in the pediatric population. A complete GE junction separation in a child secondary to trauma has not reported in the literature yet. Presentation of case: A 14-year-old boy presented with a complete GE junction avulsion after a near-drowning experience. He underwent immediate damage control surgery and delayed gastric pull-up esophageal reconstruction in 3-months. At the most recent clinic visit 5 months from the reconstruction, he can tolerate a regular diet without difficulty and is gaining weight and recovering well. Conclusion: Complete GE junction injuries and avulsions are rare with limited data to guide management. These injuries are associated with mortality rates from 25% to 33%, therefore, high index of suspicion, prompt recognition and careful surgical planning is needed for favorable outcomes.
AB - Introduction: Gastroesophageal (GE) junction injuries are rare in the pediatric population. A complete GE junction separation in a child secondary to trauma has not reported in the literature yet. Presentation of case: A 14-year-old boy presented with a complete GE junction avulsion after a near-drowning experience. He underwent immediate damage control surgery and delayed gastric pull-up esophageal reconstruction in 3-months. At the most recent clinic visit 5 months from the reconstruction, he can tolerate a regular diet without difficulty and is gaining weight and recovering well. Conclusion: Complete GE junction injuries and avulsions are rare with limited data to guide management. These injuries are associated with mortality rates from 25% to 33%, therefore, high index of suspicion, prompt recognition and careful surgical planning is needed for favorable outcomes.
KW - Avulsion
KW - Cardiopulmonary resuscitation
KW - Gastroesophageal junction
KW - Near-drowning
KW - Pediatric
KW - Transection
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U2 - 10.1016/j.ijscr.2020.09.167
DO - 10.1016/j.ijscr.2020.09.167
M3 - Article
AN - SCOPUS:85091909354
SN - 2210-2612
VL - 76
SP - 11
EP - 13
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -