Minimally Invasive Surgery for Esophageal Atresia with Tracheoesophageal Fistula After Low Esophageal Banding in a Low-Birth Weight Infant

Videoscopy ◽  
2017 ◽  
Vol 27 (5) ◽  
Author(s):  
Yih-Cherng Duh ◽  
Paul Chia-Yu Chang ◽  
Yao-Jen Hsu ◽  
Hung-Yang Chang ◽  
Chin-Hung Wei
Keyword(s):  
Minimally Invasive Surgery ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Minimally Invasive ◽  
Esophageal Atresia ◽  
Invasive Surgery ◽  
Tracheoesophageal Fistula ◽  
Low Birth Weight Infant

Outcome of primary repair in extremely and very low-birth-weight infants with esophageal atresia/distal tracheoesophageal fistula

2017 ◽  
Vol 52 (10) ◽  
pp. 1567-1570 ◽  
Author(s):  
Andreas Schmidt ◽  
Florian Obermayr ◽  
Justus Lieber ◽  
Christian Gille ◽  
Frank Fideler ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Very Low Birth Weight ◽  
Primary Repair ◽  
Low Birth Weight Infants

scholarly journals Esophageal atresia — state of the art (review of literature on the PUBMED base)

2020 ◽  
Vol 10 (3) ◽  
pp. 327-338
Author(s):  
Steven Rothenberg ◽  
Yury А. Kozlov
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Esophageal Atresia ◽  
Invasive Surgery ◽  
Pediatric Surgery ◽  
Neonatal Intensive Care ◽  
Surgical Care ◽  
Postoperative Recovery ◽  
Invasive Approach ◽  
Minimal Trauma

Esophageal atresia is fundamentally important in pediatric surgery, as its treatment results create an accurate portrait of the standards of surgical care, which is provided by any medical institution. Cameron Haight performed the first successful reconstruction of the esophagus malformation relatively recently just over 70 years ago. Advances in neonatal surgery, technology and advances in neonatal intensive care have dramatically improved treatment outcomes for this disease. Current mortality from this developmental abnormality has become minimal, despite its frequent association with other malformations. A revolutionary approach to the treatment of esophageal atresia was developed by Steven Rothenberg in 1999, the pioneer and legend of pediatric minimally invasive surgery. In 1999, he revolutionized esophageal anastomosis by thoracoscopy. The innovative concept of the minimally invasive approach ensured minimal trauma to patients, thereby providing the possibility of rapid postoperative recovery of patients and reducing the length of their surgical hospital stay. This literature review raises the main controversy in the surgical treatment of esophageal atresia in the 21st century. Emphasis is placed on the study of the role of minimally invasive surgery and the treatment of concomitant abnormalities associated with gastroesophageal reflux and tracheomalacia. As part of the study, a description of all the latest technologies, advances in technical and scientific terms, solutions, exceptional experience, and competence in developing and implementing minimally invasive operations in young children. These developments changed the direction of pediatric surgery and improved the quality of surgical care for children with congenital malformation of the esophagus and how they were performed.

Minimally invasive treatment of retrocardiac tension pneumomediastinum in an extremely low birth weight infant

2020 ◽  
Vol 50 (11) ◽  
pp. 1624-1628
Author(s):  
Michael J. Ponkowski ◽  
Bhupender Yadav ◽  
Elisabeth Meagher ◽  
Anthony Ho ◽  
Ranjith Vellody
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Minimally Invasive ◽  
Minimally Invasive Treatment ◽  
Extremely Low Birth Weight ◽  
Invasive Treatment ◽  
Low Birth Weight Infant

Esophageal atresia/tracheoesophageal fistula in very low-birth-weight neonates: improved outcomes with staged repair

2009 ◽  
Vol 44 (12) ◽  
pp. 2278-2281 ◽  
Author(s):  
Mikael Petrosyan ◽  
Joaquin Estrada ◽  
Catherine Hunter ◽  
Russell Woo ◽  
James Stein ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Very Low Birth Weight ◽  
Improved Outcomes

scholarly journals Surgical treatment of esophageal atresia with lower tracheoesophageal fistula in an extremely preterm infant (510 g, 25 + 5 weeks): a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Xiaoyan Feng ◽  
Ulrich Thomé ◽  
Holger Stepan ◽  
Martin Lacher ◽  
Richard Wagner
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Esophageal Atresia ◽  
Neonatal Intensive Care ◽  
Tracheoesophageal Fistula ◽  
Surgical Trauma ◽  
Low Birth Weight Infants ◽  
Operative Trauma ◽  
Extremely Preterm ◽  
Extreme Low Birth Weight

Abstract Background The surgical management of esophageal atresia in extreme-low-birth-weight infants (< 1000 g) is challenging. We report on an extreme-low-birth-weight infant who was extremely preterm (510 g, 25 + 5 weeks) and of prenatally unknown Gross type C esophageal atresia. Case presentation After resuscitation and intubation, the tracheoesophageal fistula was closed on the first day of life in the neonatal intensive care unit via an extrapleural approach using a titanium clip. On the sixth day of life, the Caucasian child was extubated. To minimize the operative trauma in the initial neonatal period, we prolonged gastrostomy placement until the 22nd day of life (weight 725 g). At the age of 3 months (weight 2510 g), thoracoscopic esophageal anastomosis was performed. The postoperative course was unremarkable. During the further clinical course, eight esophageal dilations were necessary. Currently, the patient swallows without difficulties at the age of 4 years and thrives well [15 kg (Percentile 28); 100 cm (Percentile 24)]. Conclusions Our case shows that minimized postnatal surgical trauma with primary tracheoesophageal fistula closure at the bedside, delayed gastrostomy, and minimally invasive esophageal repair after substantial weight gain (> 2.5 kg) is a good strategy for esophageal atresia/tracheoesophageal fistula in extreme-low-birth-weight infants.

scholarly journals Esophageal atresia and Tracheoesophageal fistula with associated anomalies in a tertiary care hospital of north India

2017 ◽  
Vol 4 (10) ◽  
pp. 3456
Author(s):  
Jagdeesh Prasad
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Tertiary Care ◽  
Severe Pneumonia ◽  
North India ◽  
Care Hospital ◽  
Associated Anomalies ◽  
Mortality And Morbidity

Background: Esophageal atresia (EA) with or without Tracheoesophageal fistula (TEF) has been described as the epitome of pediatric surgery and the management of these neonates require high degree of skill, manpower and tertiary care. This clinical study was undertaken to identify the EA and TEF cases along with the pattern of associated anomalies causing mortality in Varanasi .Methods: This prospective study included 53 patients of EA with TEF who underwent primary esophageal anastomosis. Their clinical profile, time of presentation, various associated anomalies, sex distribution, and their effect on mortality and morbidity were observed.Results: Mortality was high (41.64%) among patients who reached the tertiary centre late i.e. >24 hours. The incidence of low birth weight babies is approximately 75% and mortality rate increased with low birth weight. Almost 2/3 of patients had clinical or radiological evidence of pneumonia. The mortality was very high in severe pneumonia 66.7% as compared to 15% patients without pneumonia. Septicaemia and leak were most common complications. The mortality in septicemic patients is high (77.8%). The overall incidence of associated anomalies was 47%. Early surgical intervention improved the survival of EA with TEF with major GIT associated anomalies. The overall survival rate was 60.37% and mortality was 39.67%.Conclusions: Although we have improved a lot in managing these cases of EA with TEF, but we have to do much more to achieve our goal of near 100% survival. 

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