Artículos de revistas
Lateral esophagostomy: An alternative in the initial management of long gap esophageal atresia without fistula
Registro en:
Journal Of Pediatric Surgery. W B Saunders Co, v. 35, n. 12, n. 1827, n. 1829, 2000.
0022-3468
WOS:000165598700032
10.1053/jpsu.2000.19273
Autor
Aloisi, AS
de Freitas, S
Colombo, AC
Amalfi, R
Sbragia-Neto, L
Bustorff-Silva, JM
Institución
Resumen
The authors report an alternative method of cervical esophagostomy that was used in a child with type A esophageal atresia. This method involved performing a lateral esophagostomy in the proximal pouch, preserving its distal end, allowing the child to swallow normally, without choking, while stimulating the spontaneous growth of the proximal esophagus. As a result, the infant could be discharged home on G-tube feedings while waiting for spontaneous growth of the proximal pouch to occur, There were no episodes of aspiration during this period, and definitive reconstruction through end-to-end esophageal anastomosis was accomplished successfully at the age of 18 months. The authors consider that this alternative might increase the possibility of a definitive correction through delayed primary anastomosis of the infant's own esophagus in children with this type of malformation. J Pediatr Surg 35:1827-1829. Copyright (C) 2000 by W.B. Saunders Company. 35 12 1827 1829