1/192. A strategy for primary reconstruction of long gap esophageal atresia using neonatal colon esophagoplasty: a case report.Treatment options for long gap esophageal atresia without tracheoesophageal fistula generally require several stages over many months. An early neonatal vascularized conduit would allow a tension-free anastomosis, but the precarious blood supply of the neonatal bowel makes mobilization and immediate interposition hazardous. This report describes the successful application of a strategy for primary reconstruction in the neonate using a short piece of colon mobilized into the mediastinum for subsequent delayed anastomosis.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
2/192. esophageal atresia and tracheoesophageal fistula.esophageal atresia, with or without tracheoesophageal fistula, is a fairly common congenital disorder that family physicians should consider in the differential diagnosis of a neonate who develops feeding difficulties and respiratory distress in the first few days of life. esophageal atresia is often associated with other congenital anomalies, most commonly cardiac abnormalities such as ventricular septal defect, patent ductus arteriosus or tetralogy of fallot. Prompt recognition, appropriate clinical management to prevent aspiration, and swift referral to an appropriate tertiary care center have resulted in a significant improvement in the rates of morbidity and mortality in these infants over the past 50 years.- - - - - - - - - - ranking = 5keywords = fistula (Clic here for more details about this article) |
3/192. Successful treatment of tracheomalacia associated with esophageal atresia without a tracheoesophageal fistula by aortopexy: report of a case.tracheomalacia (TM) is well known as a complication associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF); however, the occurrence of TM requiring surgical treatment in a patient having EA without a tracheoesophageal fistula has never been reported. We describe herein a rare case of TM associated with EA without TEF. Respiratory distress was caused by compression of the trachea by a severely dilated upper esophageal pouch with weakness of the tracheal wall. Aortopexy was performed, and an excellent postoperative result was achieved.- - - - - - - - - - ranking = 6keywords = fistula (Clic here for more details about this article) |
4/192. Esophageal lung with multiple congenital anomalies: conundrums in diagnosis and management.BACKGROUND/PURPOSE: Communicating bronchopulmonary foregut malformations (CBPFM) are a diverse group of potentially devastating congenital anomalies with anatomy that may be difficult to delineate. The authors present a case that illustrates conundrums in the diagnosis and management of these complex disorders. methods: A term baby had esophageal atresia (EA), tracheoesophageal fistula (TEF), and tetralogy of fallot. Initially, a gastrostomy was performed, and a balloon catheter was inserted through the endotracheal tube to occlude the fistula until the patient was hemodynamically stable. Subsequently, the fistula was ligated. Postoperatively, the left lung collapsed, and bronchoscopy showed an atretic left mainstem bronchus. Repeat thoracotomy showed that the fistula ligation was intact. air was introduced through the gastrostomy tube, and, surprisingly, the left lung inflated, indicating the left mainstem bronchus arose from the esophagus distal to the ligated TEF. RESULTS: Despite reopening this fistula, ventilation remained poor, and support was withdrawn. autopsy findings confirmed a unilobed left lung arising from the esophagus, EA, TEF, an atretic left mainstem bronchus, tetralogy of fallot, and digeorge syndrome. CONCLUSIONS: This is the first report of a combination of EA and distal TEF with a second CBPFM involving the esophagus and the entire left lung. Successful correction of these anomalies will require extensive delineation of the anatomy to plan an operative strategy.- - - - - - - - - - ranking = 5keywords = fistula (Clic here for more details about this article) |
5/192. Congenital cystic adenomatoid malformation of the lung associated with esophageal atresia and tracheoesophageal fistula.Bronchopulmonary malformations associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF) are extremely rare. The authors describe a case of type II congenital cystic adenomatoid malformation (CCAM) of the right lower lobe associated with EA and TEF (Vogt-Gross type C) in a full-term female infant. The CCAM presented as an incidental radiologic finding, and a contralateral tension pneumothorax developed shortly after surgical repair of the EA. Early recognition of this rare association is essential for correct operative management.- - - - - - - - - - ranking = 5keywords = fistula (Clic here for more details about this article) |
6/192. Novel use of neonatal cuffed tracheal tube to occlude tracheo-oesophageal fistula.The use of a cuffed tracheal tube is described to occlude the leak through a tracheo-oesophageal fistula (TOF) in a neonate and prevent gastric dilatation during positive-pressure lung ventilation.- - - - - - - - - - ranking = 5keywords = fistula (Clic here for more details about this article) |
7/192. Use of a Palmaz stent for tracheomalacia: case report of an infant with esophageal atresia.A male infant with congenital cardiac anomalies and esophageal atresia with tracheoesophageal fistula (EA-TEF) showed intractable respiratory symptoms after delayed primary repair of EA-TEF. Computed tomography demonstrated that the trachea was compressed by the enlarged aorta. Artificial ventilation was necessary even after aortopexy performed at 2 months of age. At 140 days of age, an expandable metallic stent (Palmaz stent) was inserted through a rigid bronchoscope into the trachea underfluoroscopic control. His respiratory status improved dramatically, and he was extubated in 18 hours. Although the follow-up period has been 9 months, the short-term result is satisfactory. The expandable metallic stent placement should be considered in patients with EA-TEF who show intractable respiratory symptoms caused by tracheomalacia.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
8/192. A successful one-stage reconstruction of the esophagus in a newborn with a long gap esophageal atresia and tracheo-esophageal fistula.A method of one-stage surgery of long gap esophageal atresia was applied in a newborn child. An anterior muco-muscular flap was moulded from the upper pouch and transposed to the lower pouch of the esophagus. The technique allowed the tension in the anastomosis between the two parts of the esophagus to be reduced. The child had no feeding abnormalities during the follow-up till the age of 5 years.- - - - - - - - - - ranking = 4keywords = fistula (Clic here for more details about this article) |
9/192. esophageal atresia with blocked distal tracheo-esophageal fistula.A new born male child diagnosed for pure esophageal atresia was subsequently found to have blocked tracheo-esophageal fistula. The case is reported in view of its rarity and difficulty in management.- - - - - - - - - - ranking = 5keywords = fistula (Clic here for more details about this article) |
10/192. Tar syndrome with unilateral absent radius and associated esophageal atresia: a variant?We report a male child with thrombocytopenia and Absent Radii (TAR) syndrome but with single absent radius and associated tracheoesophageal fistula which has never been reported till date.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
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