Lateral esophagostomy: an alternative in the initial management of long gap esophageal atresia without fistula.
J Pediatr Surg
; 35(12): 1827-9, 2000 Dec.
Article
em En
| MEDLINE
| ID: mdl-11101747
The authors report an alternative method of cervical esophagostomy that was used in a child with type A esophageal atresia. This method involved performing a lateral esophagostomy in the proximal pouch, preserving its distal end, allowing the child to swallow normally, without choking, while stimulating the spontaneous growth of the proximal esophagus. As a result, the infant could be discharged home on G-tube feedings while waiting for spontaneous growth of the proximal pouch to occur. There were no episodes of aspiration during this period, and definitive reconstruction through end-to-end esophageal anastomosis was accomplished successfully at the age of 18 months. The authors consider that this alternative might increase the possibility of a definitive correction through delayed primary anastomosis of the infant's own esophagus in children with this type of malformation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esofagostomia
/
Atresia Esofágica
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Newborn
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Estados Unidos