Abstract | INTRODUCTION: PRESENTATION OF CASE: Three patients with combined esophageal atresia (EA), tracheoesophageal fistula (TEF), and duodenal atresia safely underwent a staged approach inserting a gastrostomy tube and repairing the EA/TEF first followed by a duodenoduodenostomy within one week. None of the patients suffered significant pre- or post-operative complications and our follow-up data (between 12 and 24 months) suggest that all patients eventually outgrow their reflux and respiratory symptoms. DISCUSSION: While some authors support repair of all defects in one surgery, we recommend a staged approach. A gastrostomy tube is placed first for gastric decompression before TEF ligation and EA repair can be safely undertaken. The repair of the DA can then be performed within 3-7 days under controlled circumstances. CONCLUSION: A staged approach of inserting a gastrostomy tube and repairing the EA/TEF first followed by a duodenoduodenostomy within one week resulted in excellent outcomes.
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Authors | Christoph S Nabzdyk, Bill Chiu, Carl-Christian Jackson, Walter J Chwals |
Journal | International journal of surgery case reports
(Int J Surg Case Rep)
Vol. 5
Issue 12
Pg. 1288-91
( 2014)
ISSN: 2210-2612 [Print] Netherlands |
PMID | 25460495
(Publication Type: Journal Article)
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Copyright | Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved. |