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The management of the traumatic perforation of the esophagus constitutes challenging situation, since that is unusual condition; the diagnosis is hindered by the nonspecific or discrete symptomatology and the treatment standardization is also hindered by the variety of the causes and its consequences3,4,6,10. Among the causes, the foreign body constitutes about 10% of the cases and the esophageal portion more commonly injured is the thoracic, followed by the cervical and abdominal7. The diagnosis can be firmed by the association of the clinical manifestation and the evaluation by radiological examinations5,9,10. The high digestive endoscopy can be also used for diagnosis and treatment; however, the delay is associated with the higher morbidity and mortality7. Furthermore, because of the individual character of the behavior therapeutic, the choice of a conservative treatment rather than surgical approach is still controversial4. This current report has the aim to identify atypical outcome and to raise alternative conditions for the good management of the esophageal perforation. This report was approved by the Ethics Committee of the Hospital de Urgências de Goiânia, GO, Brazil. How to cite this article: Rocha VAF, Reis WC, Souza KS, Stival RA, Nunes CM, Santos WJ. Late conservative treatment for esophageal perforation by foreign body. ABCD Arq Bras Cir Dig. 2019;32(4):e1467. DOI: /10.1590/0102672020180001e1467 Letter to the Editor

LATE CONSERVATIVE TREATMENT FOR ESOPHAGEAL PERFORATION BY FOREIGN BODY