Treatment of two newborns with esophageal atresia and distal tracheoesophageal fistula complicated by gastric perforation: choosing the simple way.
Acta Chir Belg
; 120(4): 282-285, 2020 Aug.
Article
en En
| MEDLINE
| ID: mdl-30714508
ABSTRACT
Objective:
Gastric distention and perforation are possible results in a preterm newborn with esophageal atresia and distal tracheoesophageal fistula, especially when there is a need for mechanical ventilatory support. The results of the reported cases treated with emergency thoracotomy and fistula ligation after gastrostomy are not very satisfactory. Sometimes simple temporary solutions can be useful for stabilization and allow safety for required surgical treatment for later.Patient andmethods:
Two preterm newborns with esophageal atresia and distal tracheoesophageal fistula complicated by gastric perforation were reported.Results:
Both of the patients were initially treated with a simple peritoneal drainage and, then the definitive operations were performed without any problem in stabilized patients.Conclusion:
Performing fistula ligation or occlusion as an initial treatment in patients with impaired cardiac and respiratory functions may worsen the status of the patient. In such cases, it could be better to perform simple interventions first to facilitate subsequent treatments.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Rotura Gástrica
/
Drenaje
/
Fístula Traqueoesofágica
/
Atresia Esofágica
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
/
Newborn
Idioma:
En
Año:
2020
Tipo del documento:
Article