Document Detail

Primary anastomosis in esophageal atresia type I without a gap.
MedLine Citation:
PMID:  10415289     Owner:  NLM     Status:  MEDLINE    
This paper reports the case of an infant born with type I esophageal atresia (EA) associated with duodenal atresia (DA). The critical condition of the patient necessitated an exploratory laparotomy, which revealed severe dilatation of the stomach and duodenum. The routine procedure for repairing type I EA is a delayed primary anastomosis after 10 weeks of age because of the long gap between the two esophageal segments. In our case, due to the concomitant DA, the lower pouch was long enough to allow primary neonatal anastomosis. A radiograph taken with a Hegar dilator in the lower segment via the gastrostomy confirmed this suspicion, and the baby underwent a thoracotomy and primary anastomosis between the esophageal pouches. The authors propose the possibility of primary esophageal anastomosis in similar cases.
S J Karmarkar; G Martucciello; P Repetto; T P Karande
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric surgery international     Volume:  15     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-09-02     Completed Date:  1999-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  376-7     Citation Subset:  IM    
Department of Pediatric Surgery, Wadia Children's Hospital, Bombay, India.
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MeSH Terms
Abnormalities, Multiple / classification*,  radiography,  surgery*
Age Factors
Anastomosis, Surgical / methods*
Duodenum / abnormalities*,  surgery*
Esophageal Atresia / classification*,  complications,  radiography,  surgery*
Fatal Outcome
Gastric Dilatation / etiology
Gastroesophageal Reflux / etiology
Infant, Newborn

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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