지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 186 - 190 (5page)
이용수
초록· 키워드
오류제보하기
Esophageal atresia (EA) with proximal tracheoesophageal fistula (TEF; gross type B) is a rare defect. Although most patients have long-gap EA, there are still no established surgical guidelines. A premature male infant with symmetric intrauterine growth retardation (birth weight, 1,616 g) was born at 35 weeks and 5 days of gestation. The initial diagnosis was pure EA (gross type A) based on failure to pass an orogastric tube and the absence of stomach gas. A “feed and grow” approach was implemented, with gastrostomy performed on postnatal day 2. A fistula was detected during bronchoscopy for recurrent pneumonia; thus, we confirmed type B EA and performed TEF excision and cervical end esophagostomy. As the infant’s stomach volume was insufficient for bolus feeding after reaching a body weight of 2.5 kg, continuous tube feeding was provided through a gastrojejunal tube. On the basis of these findings, esophageal reconstruction with gastric pull-up was performed on postnatal day 141 (infant weight, 4.7 kg), and he was discharged 21 days postoperatively. At 12 months after birth, there was no catch-up growth; however, he is currently receiving a baby food diet without any complications. In patients with EA, bronchoscopy is useful for confirming TEF, whereas for those with long-gap EA with a small stomach volume, esophageal reconstruction with gastric pull-up after continuous feeding through a gastrojejunal tube is worth considering.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Spitz L / 2007 / Oesophageal atresia / Orphanet J Rare Dis 2:24
Spitz L / 1994 / Oesophageal atresia: at-risk groups for the 1990s / J Pediatr Surg 29:723~725
Yagyu M / 2000 / Esophageal atresia in Bremen, Germany: evaluation of preoperative risk classification in esophageal atresia / J Pediatr Surg 35:584~587
Sinha CK / 2007 / Modified prognostic criteria for oesophageal atresia and tracheo-oesophageal fistula / Eur J Pediatr Surg 17:153~157
Eun Young Chang / 2012 / Clinical characteristics and treatment of esophageal atresia: a single institutional experience / 대한외과학회지 83(1):43~49
Spitz L / 1994 / Oesophageal atresia: at-risk groups for the 1990s / J Pediatr Surg 29:723~725
Yagyu M / 2000 / Esophageal atresia in Bremen, Germany: evaluation of preoperative risk classification in esophageal atresia / J Pediatr Surg 35:584~587
Sinha CK / 2007 / Modified prognostic criteria for oesophageal atresia and tracheo-oesophageal fistula / Eur J Pediatr Surg 17:153~157
Eun Young Chang / 2012 / Clinical characteristics and treatment of esophageal atresia: a single institutional experience / 대한외과학회지 83(1):43~49
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