End to End Anastomosis of Type A(long gap) Esophageal Atresia in 1200 gram Premature Baby: a case report.
- Author:
Sam Hyeon CHO
1
;
Bong Suk OH
;
Dong June LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chonnam University Medical School, Korea.
- Publication Type:Case Report
- Keywords:
Esophageal atresia;
Prematurity
- MeSH:
Anesthesia, Local;
Colon;
Drainage;
Esophageal Atresia*;
Esophagus;
Gastrostomy;
Humans;
Infant, Newborn;
Jeollanam-do;
Male;
Mediastinitis;
Pregnancy;
Stomach;
Suction
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(2):236-240
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The management of neonate with long gap atresia without a fistula(typeA) is complex and controversial. Various esophageal reconstruction include use of native esophagus or replacement with colon, stomach and small bowel. A severe premature male, at 28 weeks gestation weighing 1.2kg, was born with type A esophageal atresia in Chonnam University Hospital. Initial treatment consisted of gastrostomy under the local anesthesia and suctioning of proximal pouch, and than underwent delayed esophageal end to end anastomosis. A minimal leakage and mediastinitis ocurred postoperatively, but was treated by adequate drainage and negative suction from the leakage site through the gastrostomy. The patient was discharged in good general condition and normal weight of 5.4kg after 4 months after the surgery.
