[size=20px]A five year old with history of repaired esophageal atresia presents with a foreign body in the esophagus. The object is removed and an esophageal dilatation is performed for a stricture in the proximal third of the esophagus. Thirty-six hours later she presents with chest pain and fever. An esophagram is performed which demonstrates a contained leak into the mediastinum. What is the next best step in managing the esophageal perforation in this patient?

 

A- intravenous antibiotics and nasogastric drainage

 

B- left tube thoracostomy

 

C- gastric transposition

 

D- repair via a left thoracotomy

 

E- gastrostomy and cervical esophageal diversion[/size]

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A- intravenous antibiotics and nasogastric drainage

 

 

conservative medical management has been successful with less morbidity and mortality.