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|Type:||Artigo de periódico|
|Title:||Lateral esophagostomy: An alternative in the initial management of long gap esophageal atresia without fistula|
de Freitas, S
|Abstract:||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.|
|Editor:||W B Saunders Co|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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