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Seasonal Frequency in esophageal Atresia/tracheo-esophageal Fistula: Is there an Environmental Etiology?

Surgical Science 2011年第7期2卷 385-387页

作者： Christopher Bode Adesoji Ademuyiwa Sylvester Ikhisemojie 不详

Background: esophageal Atresia and tracheo-esophageal Fistula (EA/TEF) occurs sporadically and its eti-ology is poorly understood. We observed six cases of EA/TEF within three weeks of October 2007 at the Lagos University Teaching Hospital (LUTH), Nigeria. Aims: To analyze the monthly trends of presentation of EA/TEF at the LUTH from 2002-7, test the hypothesis that the October figures were not due to chance and correlate data with known local disease patterns. Setting: Lagos University Teaching Hospital, Nigeria. Patients, Materials, Method: A retrospective analysis of all EA/TEFs managed at the LUTH within stated period. Results: 25 babies with EA/TEF presented over the period. 10 (40%) were seen in the month of Oc-tober, 5 (20%) occurred in May while the rest were spread over the rest of the months. Chi-square analysis confirmed that the EA/TEF cases occurred significantly more frequently in October (P < 0.001) and this ob-servation was unlikely due to chance. Conclusions: There seems to be a seasonal variation in the occurrence of EA/TEF in Lagos, with a significantly higher frequency in the month of October. 96% of mothers of ba-bies with EA/TEF lived in low socioeconomic parts of Lagos. This study highlights the possibility of local viral etiology of EA/TEF.

关键词： tracheo-esophageal Fistula Seasonal Etiology

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Is routine use of transanastomotic tube justified in the repair of esophageal atresia?

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World Journal of Pediatrics 2017年第6期13卷 584-587页

作者： Sarath Kumar Narayanan Arun Preeth Vazhiyodan Prathap Somnath Arun Mohanan Department of Pediatric Surgery Institute of Maternal and Child HealthGovernment Medical CollegeKozhikodeKeralaIndia

Background:Transanastomotic feeding tube (TAFT) is commonly used for post-operative enteral nutrition after esophageal atresia (EA)/tracheoesophageal fistula (TEF) *** purpose of this study is to analyze the therapeutic implications of avoiding a TAFT and its impact on the outcomes ***:The medical data of 33 inpatients with EA/TEF type C repair from 2009 to 2014 were retrospectively *** were divided into two groups for comparison based on the usage of TAFT during the repair:TAFT-(without) and TAFT+ (with) groups,without *** groups were compared statistically for post-operative complications and ***:Eighteen neonates were males and 15 females,with an average birth weight of 2.43±0.43 kg and a mean gestational age of 36.15 *** (57.5%) in the TAFT-group and 14 (42A%) were in the TAFF+ *** post-operative complications,need for dilatations,duration of total parenteral nutrition (TPN) and length of hospital stay were similar in both *** incidence of pneumonitis was significantly higher in the TAFT+ ***:By avoiding a TAFT,there is no increase in complication rates nor does it entail a prolonged period of ***,not using a TAFT may have the advantage of reducing incidence of aspiration and consequent pneumonifis.

关键词： esophageal atresia tracheo-esophageal fistula transanastomotic tube

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Small bowel intussusception in a child following feeding jejunostomy: A rare case with review of literature

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Open Journal of Pediatrics 2012年第4期2卷 278-280页

作者： Basant Kumar Richa Lal Vijai Datta Upadhyaya Banani Poddar Department of Critical Care Medicine Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow India Department of Paediatric Surgery Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow India

Jejuno-jejunal intussusception is a rare complication of feeding jejunostomy tube placement. A case of one year old child who underwent gastric pull-up for complicated tracheo-esophageal fistula had jejuno-jejunal int... 详细信息

关键词： Jejuno-Jejunal Intussusception Feeding Jejunostomy tracheo-esophageal Fistula

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Role of preoperative tracheobronchoscopy in newborns with esophageal atresia:A review

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World Journal of Gastrointestinal Endoscopy 2014年第10期6卷 482-487页

作者： Filippo Parolini Giovanni Boroni Stefania Stefini Cristina Agapiti Tullia Bazzana Daniele Alberti Department of Pediatric Surgery Azienda Ospedaliera Spedali Civili 25123 Brescia Italy Department of Pediatric Othorinolaryngology Azienda Ospedaliera Spedali Civili 25123 Brescia Italy Department of Pediatric Anesthesiology and Intensive Care Unit Azienda Ospedaliera Spedali Civili 25123 Brescia Italy University of Brescia 25123 Brescia Italy

Preoperative tracheobronchoscopy(TBS) in the diag-nostic assessment of newborns affected by esophageal atresia(EA) was described in 1981. Nevertheless, the value of the procedure is actually much debated; only a few studies have clearly explored the advantages of TBS and this procedure is not yet routinely included inthe diagnostic and therapeutic assessment in many in-ternational pediatric surgery settings. Routine preoper-ative TBS is a safe procedure that enables the accurate examination of the tracheobronchial tree, the visualiza-tion of tracheoesophageal fistula and the diagnosis of tracheomalacia or associated respiratory anomalies. When a distal fistula is found, its occlusion with a Fog-arty balloon catheter improves mechanical ventilation and facilitates surgical repair. This review provides a detailed overview on the use of TBS in newborns with EA, focusing on technical aspects, anesthesiological management, indications and limits. The benefits and risks of the procedure are also compared with alterna-tive diagnostic tools, such as an esophageal contrast study, computed tomography scan and ultrasound.

关键词： Computed tomography scan esophageal atresia Newborns tracheobronchoscopy tracheo-esophageal fistula tracheomalacia

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