TITLE:
One Stage Reconstruction of Esophageal Atresia and Distal Tracheoesophageal Fistula in a 3250-gm Neonate: A Case Report
AUTHORS:
Bijay Upadhyay, Xuedong Wu, Jun Li, Ning Wang, Shanshan Zhang, Na Li
KEYWORDS:
Esophageal Atresia, Tracheoesophageal Fistula, Esophageal Reconstruction, End to End Anastamosis
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.5 No.2,
June
2,
2015
ABSTRACT: Esophageal atresia (EA) occurs when the upper
part of the esophagus does not connect with the lower part of esophagus and
stomach. Tracheoesophageal fistula (TEF) is an abnormal connection between the
upper part of the esophagus and the trachea. Treatment for esophageal atresia
has advanced over several decades due to improvements in surgical techniques
and neonatal intensive care. The aim is to share our experience regarding the
treatment of esophageal atresia with tracheoesophageal fistula. A 4-day-old
neonate suffering from esophageal atresia with type IIIB tracheoesophageal
fistula underwent one stage esophageal reconstruction and obtained good outcome
without any complications. In this paper, a simple intra-operative technique
for tracheal fistula repair and end to end esophageal anastomosis is discussed.
We used a simple technique that we have found useful for ligation of tracheal
fistula. Anastomosis of lower and upper esophagus without any complication like
anastomotic leakage or stricture/stenosis of the neonate with EA/TEF (type
IIIB), was proved to be safe and effective.