Use of temporary oesophageal stent in the management of oesophageal perforation after laparoscopic redo-Nissen Fundoplication in a paediatric case

Abstract

Iatrogenic perforation of the oesophagus is life threatening, usually managed surgically. A 4 year-old boy sustained an intra-operative oesophageal perforation while undergoing laparoscopic redo-Nissen Fundoplication for gastro- oesophgeal reflux symptoms. After several failed attempts to manage the patients surgically and conservatively, he was successfully treated by deployment of a temporary covered stent. Although commonly employed as an alternative management option in adults, the use of temporary covered stents in the paediatric population is rare especially for non- malignant disease. This technique can potentially reduce morbidity and surgical intervention.