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Diagnosis and management of congenital type D esophageal atresia

This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pe...

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Autores principales: Feng, Cuizhu, Li, Long, Zhang, Yanxia, Zhao, Yong, Huang, Jinshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564804/
https://www.ncbi.nlm.nih.gov/pubmed/37815659
http://dx.doi.org/10.1007/s00383-023-05519-6
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author Feng, Cuizhu
Li, Long
Zhang, Yanxia
Zhao, Yong
Huang, Jinshi
author_facet Feng, Cuizhu
Li, Long
Zhang, Yanxia
Zhao, Yong
Huang, Jinshi
author_sort Feng, Cuizhu
collection PubMed
description This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pediatrics and Beijing Children’s Hospital from January 2017 to May 2022. Ten patients include three newborns and seven non-newborns. Seven (70%) cases were misdiagnosed as type C esophageal atresia before the first operation. Three neonatal children underwent thoracoscopic distal tracheoesophageal fistula ligation and esophageal anastomosis: the proximal tracheoesophageal fistula was simultaneously repaired with thoracoscopy in one of these children, and the proximal tracheoesophageal fistula was not detected under thoracoscopy in the other two children. Among the seven non-neonatal children, one underwent repair of the proximal tracheoesophageal fistula through the chest and the other six underwent repair through the neck. Nine patients were cured, and one died of complications of severe congenital heart disease. Type D esophageal atresia lacks specific clinical manifestations. Misdiagnosis as type C esophageal atresia is the main cause of an unplanned reoperation. Patients without severe malformations have a good prognosis.
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spelling pubmed-105648042023-10-12 Diagnosis and management of congenital type D esophageal atresia Feng, Cuizhu Li, Long Zhang, Yanxia Zhao, Yong Huang, Jinshi Pediatr Surg Int Review This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pediatrics and Beijing Children’s Hospital from January 2017 to May 2022. Ten patients include three newborns and seven non-newborns. Seven (70%) cases were misdiagnosed as type C esophageal atresia before the first operation. Three neonatal children underwent thoracoscopic distal tracheoesophageal fistula ligation and esophageal anastomosis: the proximal tracheoesophageal fistula was simultaneously repaired with thoracoscopy in one of these children, and the proximal tracheoesophageal fistula was not detected under thoracoscopy in the other two children. Among the seven non-neonatal children, one underwent repair of the proximal tracheoesophageal fistula through the chest and the other six underwent repair through the neck. Nine patients were cured, and one died of complications of severe congenital heart disease. Type D esophageal atresia lacks specific clinical manifestations. Misdiagnosis as type C esophageal atresia is the main cause of an unplanned reoperation. Patients without severe malformations have a good prognosis. Springer Berlin Heidelberg 2023-10-10 2023 /pmc/articles/PMC10564804/ /pubmed/37815659 http://dx.doi.org/10.1007/s00383-023-05519-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
Feng, Cuizhu
Li, Long
Zhang, Yanxia
Zhao, Yong
Huang, Jinshi
Diagnosis and management of congenital type D esophageal atresia
title Diagnosis and management of congenital type D esophageal atresia
title_full Diagnosis and management of congenital type D esophageal atresia
title_fullStr Diagnosis and management of congenital type D esophageal atresia
title_full_unstemmed Diagnosis and management of congenital type D esophageal atresia
title_short Diagnosis and management of congenital type D esophageal atresia
title_sort diagnosis and management of congenital type d esophageal atresia
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564804/
https://www.ncbi.nlm.nih.gov/pubmed/37815659
http://dx.doi.org/10.1007/s00383-023-05519-6
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