Novel use of glycopyrrolate (Robinul) in the treatment of anastomotic leak after repair of esophageal atresia and tracheoesophageal fistula
| Autor: | Saif F. Hassan, Sanjeev A. Vasudevan, Shawn Mathur, Danielle Patterson, Eugene S. Kim |
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| Rok vydání: | 2011 |
| Předmět: |
Heart Defects
Congenital Leak medicine.medical_specialty medicine.medical_treatment Limb Deformities Congenital Anal Canal Anastomotic Leak Tracheoesophageal fistula Muscarinic Antagonists Thoracostomy Anastomosis Kidney Esophagus Colostomy medicine Humans Esophageal Atresia Glycopyrrolate Postoperative Care business.industry Infant Newborn General Medicine medicine.disease Spine Surgery Radiography Trachea Chest Tubes Esophagoplasty Anesthesia Atresia Pediatrics Perinatology and Child Health Female Salivation Complication business Tracheoesophageal Fistula |
| Zdroj: | Journal of Pediatric Surgery. 46:e29-e32 |
| ISSN: | 0022-3468 |
| Popis: | Anastomotic leak after tracheoesophageal fistula repair is a well-known complication and can represent a challenging clinical scenario. We present the case of an infant girl with VACTERL syndrome who underwent repair of a type C esophageal atresia and tracheoesophageal fistula repair, which was complicated by an anastomotic leak. Glycopyrrolate (Robinul), an anticholinergic agent, was successfully used to decrease copious salivary secretion and promote spontaneous closure of the leak. This report represents the first description in the medical literature of the use of glycopyrrolate in the treatment of an esophageal anastomotic leak. Glycopyrrolate may be a useful adjunct in the management of anastomotic leak after tracheoesophageal repair. |
| Databáze: | OpenAIRE |
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