Primary Repair of Esophageal Atresia with Distal Tracheoesophageal Fistula in a Low–Birth-Weight Neonate

Year 2015, , 340 - 344, 28.09.2015

Deniz Hanta Seval Metin Eren Çekinmez Birgin Törer Hasan Kılıçdağ Bahar Çevirgenoğlu

https://doi.org/10.17826/cutf.62962

Abstract

Esophageal atresia is complex congenital anomaly of respiratory tract occuring often associated with anomalies of other systems and chromosomal abnormalities. This congenital anomaly is a surgical emergency. The management mode of Esophageal atresia/ Tracheoesophageal Fistula in the premature, low birth weight neonate remains controversial. Traditionally, treatment has been based on a staged approach. The primary repair of Esophageal atresia and fistula closure is achievable in Low Birth Weight infants and offer a good treatment in the absence of additional severe malformations. Treatment of these neonates should not be limited to tertiary pediatric surgical centers, contrarily it is also achievable in secondary heath care centers. Near cooperation with neonatal intensivist and the pediatric surgeon is essential for good survival.

Keywords

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Düşük Doğum Ağırlıklı Yenidoğan da Özofageal Atrezi ve Distal Trakeoözofageal Fistülün Primer Onarımı

Abstract

Özofageal atrezi sıklıkla diğer sistem ve kromozal anormalileri ile ilişkili oluşan solunum yolunun kompleks konjenital bir anomalisidir. Bu konjenital anomali bir cerrahi acildir. Erken doğan, düşük doğum ağırlıklı bebeklerde özofageal atrezi/trakeoözofageal füstül tedavisi hala tartışmalıdır. Geleneksel tedavi evreye göre yaklaşıma dayanmaktadır. Özofageal atrezinin primer onarımı ve fistülün kapatılması düşük doğum ağırlıklı bebeklerde başarılabilir ve ilave ciddi bir malformasyon yoksa iyi bir tedavi sağlanabilir. Bu bebeklerin tedavileri 3.düzey pediatrik cerrrahi merkezleri ile sınırlandırılmaması gerekir. Çünkü aynı zamanda bu tedavi 2.basamak sağlık bakım merkezlerinde de başarıyla yapılabilmektedir. Yenidoğan yoğun bakım ve pediatrik cerrahinin yakın uyumu çok önemlidir.

Keywords

Düşük doğum ağırlıklı yenidoğan, Özofageal atrezinin primer onarımı, Distal trakeoözofageal fistül, Özofageal yapışıklık

References

• Pinheiro PF, Simoes e Silva AC, Pereira RM. Current knowledge on esophageal atresia. World J Gastroenterol. 2012;18:3662-72.
• Zhang Z, Huang Y, Su P, Wang D, Wang L. Experience in treating congenital esophageal atresia in China. J Pediatr Surg. 2010;45:2009-14. presentation of a standard type C esophageal atresia in a very low-birth neonate. J Pediatr Surg. 2012;47:1460-2.
• Driver CP, Bruce J. Primary reconstruction of esophageal atresia with distal tracheoesophageal fistula in a 740-ginfant. J Pediatr Surg. 1997;32:1488- 9.
• Randolph JG, Newman KD, Anderson KD. Current results in repair of esophageal atresia with tracheoesophageal fistula using physiologic status as a guide to therapy. Ann Surg. 1989;209:526-30.
• Spitz L, Kiely M, Morecraft JA, et al. Oesophageal atresia:at-risk groups for the 1990s. J Pediatr Surg. 1994;29:723-25.
• Poenaru D, Laberge JM, Neilson IR, et al: A new prognostic classification for esophageal atresia. Surgery. 1993;113:426-32.
• Rickman PP. Infants with oesophageal atresia weighing under three pounds. J Pediatr Surg. 1981;16:595-98.
• Congdon PJ, Lealman GT. Low-birth-weight infants in Bradford 1972-9. BMJ. 1980;281:594-96.
• Choudhury SR, Ashcraft KW, Sharp RJ, et al: Survival of patients with esophageal atresia: influence of birth weight, cardiac anomaly, and late respiratory complications. J Pediatr Surg. 1999;34:70-4.
• Polhson EC, Schaller RT, Tapper D. Improved survival with primary anastomosis in the low birth weight neonate with esophageal atresia and tracheo- esophageal fistula. J Pediatr Surg. 1988;23:418-21.
• Abrahamson J, Shandling B. Oesophageal atresia in the underweight baby: A challenge. J Pediatr Surg. 1972;7:608-13.