RECURRENT TRACHEOESOPHAGEAL FISTULA - EXPERIENCE WITH 24 PATIENTS

被引:49
作者
GHANDOUR, KE [1 ]
SPITZ, L [1 ]
BRERETON, RJ [1 ]
KIELY, EM [1 ]
机构
[1] HOSP SICK CHILDREN,DEPT PAEDIAT SURG,LONDON WC1N 3JH,ENGLAND
关键词
oesophageal atresia; recurrent tracheo‐oesophageal fistula; secondary oesophageal replacement;
D O I
10.1111/j.1440-1754.1990.tb02393.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Abstract Over an 11 year period, 275 infants with oesophageal atresia and tracheo‐oesophageal fistula were treated. Of these, 22 (8%) developed a recurrent fistula. An additional two patients with an established recurrent fistula were referred for secondary surgery. Infants who develop respiratory symptoms associated with feeding following repair of an oesophageal atresia should be investigated urgently with cine‐radiography and/or bronchoscopy. Once the diagnosis of a recurrent fistula has been firmly established, operative repair should be undertaken. In our series of 24 patients, there were three deaths (12.5%), four patients developed a second recurrence (16.6%), while a secondary oesphageal replacement was carried out on five patients. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:89 / 91
页数:3
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