Endoscopic treatment of tracheal diverticulum after primary repair of esophageal atresia and tracheoesophageal fistula

被引：23

作者：

Bhatnagar, V ^{[1
]}

Lal, R ^{[1
]}

Agarwala, S ^{[1
]}

Mitra, DK ^{[1
]}

机构：

[1] All India Inst Med Sci, Dept Paediat Surg, New Delhi 110029, India

来源：

JOURNAL OF PEDIATRIC SURGERY | 1998年 / 33卷 / 08期

关键词：

esophageal atresia; tracheoesophageal fistula; primary repair; tracheal diverticulum; electrocoagulation; laser; bronchoscopy;

D O I：

10.1016/S0022-3468(98)90181-6

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Two cases of recurrent and persistent respiratory symptoms after primary repair of esophageal atresia and tracheoesophageal fistula are described. The diagnostic workup included barium swallow examination, radionuclide study for gastro esophageal reflux, and bronchoscopy. The tracheal diverticulum was detected on bronchoscopy. Treatment consisted of endoscopic cauterization of the mucosa of the diverticulum and its orifice using electrocoagulation in case 1 and the Nd:YAG laser in case 2. Electrocoagulation produced tracheal edema, which caused severe respiratory distress necessitating temporary tracheostomy. Cauterization with the Nd:YAG laser was safe, effective, and uncomplicated. Copyright (C) 1998 by W.B. Saunders Company.

引用

页码：1323 / 1324

页数：2