The long-term outcome of tracheal agenesis following reconstruction of the airway and alimentary tract
| Autor: | Yu Sugai, Yasushi Iinuma, Masanori Uchiyama, Kohju Nitta, Naoko Komatsuzaki, Shirou Kuwabara, Naoki Okuyama, Kengo Nakaya, Yutaka Hirayama, Shotaro Taki, Hiroki Murata |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Tracheal agenesis
medicine.medical_specialty RD1-811 medicine.medical_treatment Fistula Pediatrics RJ1-570 03 medical and health sciences 0302 clinical medicine Esophageal stent medicine Long-term outcomes Esophagus Respiratory system business.industry medicine.disease Gastrostomy Alimentary tract Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology Reconstruction business Airway |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 69, Iss, Pp 101825-(2021) |
| ISSN: | 2213-5766 |
| Popis: | We herein report the 14-year-follow-up of a patient with tracheal agenesis (TA) after reconstruction of the airway and alimentary tract. A 2536-g female infant was diagnosed with TA of Floyd’-s type 1. Her condition was stabilized by the direct insertion of a ready-made endotracheal tube into a tracheo-esophageal fistula, after birth. At seven days old, she underwent esophageal transection, gastrostomy, and cervical esophageal division, and distal cervical esophagostomy was created as a neo-trachealized esophagus. During early infancy, a ready-made endotracheal tube had been used as an internal esophageal stent. At 7 months old, a custom-made long tracheostomy tube was substituted, which was revised according to her growth, and her respiratory condition became stable thereafter. At 7 years old, her alimentary tract was reconstructed using a gastric tube, and the post-operative course was uneventful; she eventually achieved oral intake 5 years after this surgery. She is now 14 years and 5 months old, and shows a substandard height and weight, with a slower-than-normal neurologic and physiologic development for her age. As a result, she currently attends a special-needs school. We also reviewed six other long-term survival cases to date. The present report seems to describe the longest-term outcome of a patient with TA. |
| Databáze: | OpenAIRE |
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