Coexisting left congenital diaphragmatic hernia and esophageal atresia with tracheoesophageal fistula: successful management in a premature neonate.
Abstract
The combination of left congenital diaphragmatic hernia (CDH) with esophageal atresia (EA) and distal tracheoesophageal fistula (TEF) is extremely rare and is considered highly lethal. The authors describe a premature neonate with this association, who is alive at 6 1/2 years of age. Temporary banding of the gastroesophageal junction and gastrostomy was performed concurrently with hernia repair and prosthetic abdominoplasty to enlarge the abdominal cavity. A right thoracotomy for ligation of the fistula, using extracorporeal membrane oxygenation (ECMO), was performed 13 days later. Complete repair of the esophageal atresia was accomplished 7 weeks after birth. The methods that have been suggested in the literature are discussed. The institution of ECMO at birth could allow a primary complete surgical repair of EA and CDH. Nevertheless, surgical management with staged repair, as described herein, can be useful.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | abdominoplasty
|
복부성형술 | dict | 1 | |
| 해부 | left
|
scispacy | 1 | ||
| 해부 | extracorporeal membrane
|
scispacy | 1 | ||
| 합병증 | esophageal atresia
|
scispacy | 1 | ||
| 합병증 | gastroesophageal junction
|
scispacy | 1 | ||
| 합병증 | abdominal cavity
|
scispacy | 1 | ||
| 질환 | congenital diaphragmatic hernia
|
C0235833
Congenital diaphragmatic hernia
|
scispacy | 1 | |
| 질환 | esophageal atresia
|
C0014850
Esophageal Atresia
|
scispacy | 1 | |
| 질환 | tracheoesophageal fistula
|
C0040588
Tracheoesophageal Fistula
|
scispacy | 1 | |
| 질환 | CDH
→ congenital diaphragmatic hernia
|
C0235833
Congenital diaphragmatic hernia
|
scispacy | 1 | |
| 질환 | distal tracheoesophageal fistula
|
C0040588
Tracheoesophageal Fistula
|
scispacy | 1 | |
| 질환 | TEF
→ tracheoesophageal fistula
|
C0040588
Tracheoesophageal Fistula
|
scispacy | 1 | |
| 질환 | hernia
|
C0019270
Hernia
|
scispacy | 1 | |
| 질환 | fistula
|
C0016169
pathologic fistula
|
scispacy | 1 | |
| 질환 | ECMO
→ extracorporeal membrane oxygenation
|
scispacy | 1 | ||
| 기타 | neonate
|
scispacy | 1 |
MeSH Terms
Abdomen; Esophageal Atresia; Extracorporeal Membrane Oxygenation; Gastrostomy; Hernia, Diaphragmatic; Hernias, Diaphragmatic, Congenital; Humans; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Male; Prostheses and Implants; Thoracotomy; Tracheoesophageal Fistula
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