Clinical features of five cases of congenital esophageal atresia complicated with gastric perforation
10.3760/cma.j.issn.1673-4912.2023.05.008
- VernacularTitle:先天性食管闭锁并发胃穿孔五例临床特征分析
- Author:
Menglei ZHANG
1
;
Wenwen WANG
;
Xiangyun YIN
;
Xianghong LI
;
Liangliang LI
Author Information
1. 青岛大学附属医院新生儿科 266003
- Keywords:
Congenital esophageal atresia;
Esophagotracheal fistula;
Respiratory distress;
Mechanical ventilation;
Gastric perforation
- From:
Chinese Pediatric Emergency Medicine
2023;30(5):364-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics of congenital esophageal atresia with gastric perforation, and to improve pediatricians′ understanding of this disease.Methods:The clinical data of five neonates with congenital esophageal atresia and gastric perforation treated in the neonatal intensive care unit of the Affiliated Hospital of Qingdao University from 2012 to 2022 were analyzed retrospectively.Results:Among the five neonates, four were boys and one was girl.The gestational age was 28 + 5 to 37 + 6 weeks, the birth weight was 1 100~2 350 g. All of them had dyspnea and feeding difficulties after birth.Gastric perforation occurred in three cases during invasive mechanical ventilation, one case during non-invasive ventilation, and one case during nasal catheter oxygen inhalation.Emergency primary gastric repair was performed, followed by secondary esophageal anastomosis.All the patients were cured and discharged from hospital. Conclusion:Gastric perforation is a rare complication of congenital esophageal atresia, which is more common in premature infants and low birth weight infants.Mechanical ventilation may promote the occurrence of gastric perforation.If gastric perforation is complicated, repair should be performed as soon as possible, and esophageal anastomosis surgery should be performed early after stability to improve the final outcome.
