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.
Highlights
Esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) is a fairly common congenital disorder that doctor should consider in the differential diagnosis of a neonate who develops feeding difficulties and res
Survival in patients of EA with/without TEF has markedly improved due to advances in surgical techniques and neonatal intensive care, complications often occur and morbidities after treatment are still regarded as an important issue
Variations in the type of Artesia, anatomical differences, anastomotic tension induced by long gap of esophageal atresia and lack of surgical experience are considered as potential risk
Summary
Esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) is a fairly common congenital disorder that doctor should consider in the differential diagnosis of a neonate who develops feeding difficulties and res-. (2015) One Stage Reconstruction of Esophageal Atresia and Distal Tracheoesophageal Fistula in a 3250-gm Neonate: A Case Report. It is often associated with other congenital anomalies, most commonly congenital cardiac defects. A neonate with EA and TEF underwent one stage reconstruction and who got good outcome was reported in this paper and the complications prevention management was discussed
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