Advances in pediatric surgery
- Volume 2 Issue 1
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- Pages.68-71
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- 1996
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
Double Tracheoesophageal Fistula
이중 기관식도루 1예
- Huh, Young-Sao (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
- Lee, Hee-Sub (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
- Kim, Geun-Woo (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University)
- Published : 1996.03.30
Abstract
Esophageal atresia(EA) with a double tracheoesophageal fistula(TEF) is rare. It accounts for only 0.7% of all cases of EA and TEF. A male newborn weighing 2860g was born by normal vaginal delivery at 41 weeks' gestation to a 27-year-old mother who had a normal pregnancy. But immediately developed recurrent choking and respiratory distress. Feeding tube was inserted and chest X ray showed the feeding tube coiled in the proximal pouch(T-2 level). With a preoperative diagnosis of EA and distal TEF, the thoracotomy was performed on the third day of life. At thoracotomy, TEF was proved to be a double fistula. Both fistulas were divided and an esophageal anastomosis was performed. The postoperative course was uncomplicated until the eighth postoperative day when a minor anastomotic leak. The patient was discharged at 103 days of age.