Primary anastomosis in esophageal atresia type I without a gap

被引:0
|
作者
S. J. Karmarkar
G. Martucciello
P. Repetto
T. P. Karande
机构
[1] Department of Pediatric Surgery,
[2] Wadia Children's Hospital,undefined
[3] Bombay,undefined
[4] India,undefined
[5] Cattedra e Divisione Chirurgia Pediatrica,undefined
[6] Istituto Giannina Gaslini,undefined
[7] Genoa,undefined
[8] Italy,undefined
[9] Cattedra e Divisione di Chirurgia Pediatrica,undefined
[10] Istituto G. Gaslini,undefined
[11] Largo G. Gaslini,undefined
[12] 5,undefined
[13] 16148,undefined
[14] Genova,undefined
[15] Italy,undefined
来源
Pediatric Surgery International | 1999年 / 15卷
关键词
Key words Esophageal atresia; Intestinal atresia; Neonatal surgery; Duodenal atresia;
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学科分类号
摘要
This paper reports the case of an infant born with type I esophageal atresia (EA) associated with duodenal atresia (DA). The critical condition of the patient necessitated an exploratory laparotomy, which revealed severe dilatation of the stomach and duodenum. The routine procedure for repairing type I EA is a delayed primary anastomosis after 10 weeks of age because of the long gap between the two esophageal segments. In our case, due to the concomitant DA, the lower pouch was long enough to allow primary neonatal anastomosis. A radiograph taken with a Hegar dilator in the lower segment via the gastrostomy confirmed this suspicion, and the baby underwent a thoracotomy and primary anastomosis between the esophageal pouches. The authors propose the possibility of primary esophageal anastomosis in similar cases.
引用
收藏
页码:376 / 377
页数:1
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