6533b857fe1ef96bd12b4df7

RESEARCH PRODUCT

Pressure-Induced Growth (PIG) of Atretic Esophagus: A Contigent Management for High-Risk Esophageal Atresia

W. M. PieperD. Nii-amon-koteiS Hofmann-von Kap-herr

subject

medicine.medical_specialtybusiness.industrymedicine.medical_treatmentTracheoesophageal fistulaAnastomosisAspiration pneumoniamedicine.diseaseArtificial respirationSurgerymedicine.anatomical_structureAtresiamedicineThoracotomyEsophagusbusinessLigature

description

The management of uncomplicated esophageal atresia is a straightforward procedure consisting of thoracotomy with anastomosis of the atretic segments and ligature of any tracheoesophageal fistula present. However, besides the rareness of isolated esophageal atresia, our observations in the past few years show increasing incidence of the anomaly in association with premature births and other malformations which are usually incompatible with life. Aspiration pneumonia resulting from reflux of gastric content through a lower tracheoesophageal fistula, rather than the overflow of saliva from an upper atretic pouch, also threatens the life of an otherwise healthy neonate with esophageal atresia.

https://doi.org/10.1007/978-3-642-70777-3_11